| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,659 |
1,579 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,607 |
1,556 |
$134K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,329 |
3,510 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
648 |
644 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
201 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
277 |
270 |
$13K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,315 |
1,006 |
$11K |
| 90461 |
|
852 |
701 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
134 |
131 |
$5K |
| 92551 |
|
458 |
448 |
$3K |
| 90677 |
|
443 |
441 |
$1K |
| 96160 |
|
343 |
338 |
$713.10 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
104 |
97 |
$320.00 |
| 90686 |
|
596 |
590 |
$0.53 |
| 90697 |
|
80 |
80 |
$0.27 |
| 90651 |
|
134 |
134 |
$0.07 |
| 90670 |
|
691 |
686 |
$0.02 |
| 90633 |
|
200 |
199 |
$0.00 |
| 99173 |
|
437 |
433 |
$0.00 |
| 90681 |
|
132 |
131 |
$0.00 |
| 90710 |
|
24 |
24 |
$0.00 |
| 90648 |
|
52 |
52 |
$0.00 |
| 90656 |
|
42 |
42 |
$0.00 |
| 90723 |
|
26 |
26 |
$0.00 |
| 90680 |
|
168 |
167 |
$0.00 |
| 3044F |
|
24 |
24 |
$0.00 |