| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,233 |
1,093 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
690 |
623 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
927 |
757 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
263 |
226 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,177 |
1,037 |
$15K |
| 99383 |
|
72 |
62 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
57 |
$8K |
| 99382 |
|
48 |
43 |
$6K |
| 99384 |
|
13 |
13 |
$2K |
| 90670 |
|
152 |
129 |
$2K |
| 90677 |
|
89 |
81 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
19 |
$362.28 |
| 90723 |
|
171 |
145 |
$350.01 |
| 90686 |
|
94 |
72 |
$276.70 |
| 90648 |
|
231 |
201 |
$133.40 |
| 90681 |
|
27 |
25 |
$129.21 |
| 90656 |
|
25 |
14 |
$42.34 |
| 1160F |
|
2,797 |
2,401 |
$0.00 |
| 90685 |
|
14 |
13 |
$0.00 |