| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,928 |
1,600 |
$132K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,562 |
1,323 |
$119K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
523 |
487 |
$27K |
| 90677 |
|
142 |
123 |
$14K |
| 90698 |
|
1,105 |
914 |
$13K |
| 90670 |
|
857 |
744 |
$12K |
| 90686 |
|
822 |
738 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
117 |
96 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
505 |
457 |
$8K |
| 90680 |
|
491 |
391 |
$5K |
| 90633 |
|
174 |
132 |
$2K |
| 90744 |
|
173 |
132 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
66 |
$1K |
| 90661 |
|
45 |
45 |
$751.95 |
| 90685 |
|
80 |
64 |
$578.71 |
| 90656 |
|
15 |
15 |
$251.65 |
| 83655 |
|
21 |
16 |
$249.06 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
14 |
14 |
$106.78 |
| 85018 |
|
34 |
25 |
$78.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12 |
12 |
$0.00 |