| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,901 |
2,669 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
860 |
808 |
$46K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,723 |
1,580 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
561 |
519 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
476 |
472 |
$27K |
| 99442 |
|
352 |
341 |
$17K |
| 90461 |
|
535 |
500 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
269 |
262 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
143 |
129 |
$4K |
| 99173 |
|
329 |
323 |
$3K |
| 92552 |
|
231 |
225 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 96161 |
|
488 |
408 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$402.36 |
| 90677 |
|
92 |
92 |
$284.52 |
| 90680 |
|
26 |
24 |
$152.45 |
| 96127 |
|
52 |
44 |
$130.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
12 |
$126.82 |
| 90670 |
|
50 |
50 |
$1.10 |
| 90698 |
|
12 |
12 |
$0.60 |
| 1126F |
|
153 |
145 |
$0.51 |
| 90744 |
|
13 |
13 |
$0.00 |