| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
921 |
798 |
$46K |
| G9920 |
Screening performed and negative |
940 |
931 |
$27K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,670 |
3,006 |
$16K |
| 99188 |
|
674 |
669 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
431 |
423 |
$5K |
| 90633 |
|
412 |
412 |
$4K |
| 90677 |
|
404 |
404 |
$4K |
| 83655 |
|
296 |
296 |
$3K |
| 99381 |
|
96 |
96 |
$3K |
| 90686 |
|
308 |
301 |
$3K |
| 90744 |
|
302 |
302 |
$3K |
| 90698 |
|
302 |
302 |
$3K |
| 96127 |
|
526 |
515 |
$3K |
| 90651 |
|
271 |
271 |
$2K |
| 92552 |
|
1,506 |
1,502 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
730 |
727 |
$2K |
| 90656 |
|
244 |
244 |
$2K |
| 90710 |
|
221 |
221 |
$2K |
| 90619 |
|
200 |
200 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
243 |
226 |
$2K |
| 99383 |
|
115 |
115 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
427 |
426 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
448 |
448 |
$1K |
| 90715 |
|
131 |
131 |
$1K |
| 99384 |
|
74 |
74 |
$1K |
| 90700 |
|
127 |
127 |
$1K |
| 90696 |
|
125 |
125 |
$1K |
| 90716 |
|
113 |
113 |
$1K |
| 99382 |
|
74 |
74 |
$965.20 |
| 90648 |
|
99 |
99 |
$891.00 |
| 90681 |
|
85 |
85 |
$765.00 |
| 90620 |
|
83 |
83 |
$747.00 |
| 90707 |
|
44 |
44 |
$396.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
72 |
72 |
$305.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$214.08 |
| 90713 |
|
15 |
15 |
$135.00 |
| 85018 |
|
15 |
15 |
$31.87 |