| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,671 |
7,732 |
$724K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,335 |
1,309 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,200 |
1,173 |
$160K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,166 |
3,982 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
660 |
642 |
$81K |
| 96127 |
|
3,797 |
3,699 |
$77K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
421 |
410 |
$52K |
| 86580 |
|
4,670 |
4,546 |
$27K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
155 |
142 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
430 |
416 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
111 |
$2K |
| 90658 |
|
243 |
225 |
$643.62 |
| 90686 |
|
1,060 |
1,035 |
$506.07 |
| 90670 |
|
95 |
92 |
$95.00 |
| 90734 |
|
150 |
150 |
$0.00 |
| 90649 |
|
442 |
429 |
$0.00 |
| 90648 |
|
67 |
66 |
$0.00 |
| 90621 |
|
81 |
79 |
$0.00 |
| 90633 |
|
38 |
37 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90707 |
|
32 |
32 |
$0.00 |
| 90671 |
|
15 |
15 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90716 |
|
29 |
29 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 87430 |
|
13 |
13 |
$0.00 |
| 90657 |
|
24 |
24 |
$0.00 |