| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,530 |
3,239 |
$39K |
| G9920 |
Screening performed and negative |
1,783 |
1,738 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
842 |
825 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
836 |
805 |
$13K |
| 92552 |
|
1,779 |
1,773 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
196 |
183 |
$7K |
| 90686 |
|
1,207 |
1,146 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
451 |
450 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
198 |
$3K |
| 90670 |
|
213 |
201 |
$1K |
| 90698 |
|
179 |
168 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
140 |
110 |
$770.00 |
| 90660 |
|
66 |
66 |
$389.00 |
| 99173 |
|
735 |
733 |
$371.34 |
| 90680 |
|
38 |
37 |
$355.00 |
| 90685 |
|
36 |
32 |
$307.66 |
| 90672 |
|
97 |
97 |
$286.00 |
| 90688 |
|
59 |
54 |
$254.00 |
| 90658 |
|
92 |
92 |
$243.00 |
| 90707 |
|
38 |
37 |
$146.00 |
| 90651 |
|
39 |
39 |
$93.00 |
| 90716 |
|
26 |
26 |
$70.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
648 |
647 |
$60.00 |
| 96127 |
|
57 |
57 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
29 |
29 |
$0.00 |