| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,433 |
1,781 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
693 |
671 |
$5K |
| 92551 |
|
330 |
318 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
94 |
91 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
84 |
80 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
211 |
$1K |
| 99173 |
|
304 |
297 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
29 |
28 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
27 |
$920.00 |
| 81002 |
|
28 |
27 |
$99.19 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
47 |
44 |
$14.00 |