| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
751 |
616 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
688 |
596 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
660 |
597 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,363 |
1,114 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
513 |
386 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,421 |
1,157 |
$12K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
894 |
698 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
29 |
$3K |
| 96127 |
|
219 |
181 |
$1K |
| 99173 |
|
154 |
135 |
$788.97 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
43 |
34 |
$787.50 |
| 90474 |
|
117 |
99 |
$630.87 |
| 99177 |
|
29 |
24 |
$169.52 |
| 90686 |
|
277 |
201 |
$0.00 |
| 90716 |
|
82 |
72 |
$0.00 |
| 90647 |
|
144 |
112 |
$0.00 |
| 90680 |
|
135 |
114 |
$0.00 |
| 90651 |
|
13 |
13 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90688 |
|
176 |
157 |
$0.00 |
| 90685 |
|
146 |
130 |
$0.00 |
| 90670 |
|
342 |
254 |
$0.00 |
| 90648 |
|
18 |
13 |
$0.00 |
| 90707 |
|
80 |
71 |
$0.00 |
| 90633 |
|
84 |
77 |
$0.00 |
| 90461 |
|
19 |
16 |
$0.00 |