| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
566 |
535 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
304 |
292 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
409 |
393 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
254 |
248 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
902 |
878 |
$19K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
651 |
639 |
$13K |
| 90474 |
|
317 |
309 |
$3K |
| 99383 |
|
16 |
15 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 92585 |
|
18 |
18 |
$1K |
| 99461 |
|
14 |
12 |
$965.60 |
| 90670 |
|
477 |
473 |
$582.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
69 |
67 |
$470.28 |
| 90698 |
|
384 |
378 |
$324.14 |
| 90680 |
|
323 |
319 |
$134.39 |
| 90744 |
|
255 |
252 |
$93.68 |
| 99177 |
|
45 |
45 |
$5.00 |
| 90686 |
|
131 |
131 |
$0.00 |
| 90633 |
|
134 |
134 |
$0.00 |
| 90648 |
|
55 |
55 |
$0.00 |
| 90685 |
|
185 |
184 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |