| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,360 |
2,334 |
$87K |
| G9920 |
Screening performed and negative |
3,880 |
3,829 |
$86K |
| 96156 |
|
1,268 |
1,253 |
$76K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,567 |
1,556 |
$68K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,023 |
1,014 |
$46K |
| 99460 |
|
1,094 |
1,086 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
998 |
977 |
$38K |
| 92552 |
|
2,518 |
2,511 |
$28K |
| 99462 |
|
1,416 |
1,004 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
544 |
445 |
$24K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,577 |
2,523 |
$22K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,341 |
1,308 |
$22K |
| 99381 |
|
155 |
155 |
$18K |
| 92551 |
|
1,239 |
1,233 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,323 |
5,805 |
$7K |
| 90670 |
|
723 |
714 |
$6K |
| 99173 |
|
2,736 |
2,725 |
$5K |
| 90700 |
|
832 |
822 |
$5K |
| 90648 |
|
690 |
679 |
$4K |
| 87110 |
|
336 |
335 |
$4K |
| 90713 |
|
598 |
590 |
$4K |
| 99188 |
|
223 |
213 |
$4K |
| 90686 |
|
613 |
609 |
$4K |
| 90680 |
|
211 |
209 |
$2K |
| 90633 |
|
202 |
202 |
$1K |
| 90649 |
|
205 |
204 |
$1K |
| 90716 |
|
148 |
147 |
$783.00 |
| 90707 |
|
133 |
131 |
$711.00 |
| 90621 |
|
73 |
73 |
$627.34 |
| 90744 |
|
91 |
90 |
$625.05 |
| 92060 |
|
175 |
175 |
$367.84 |
| 90658 |
|
121 |
120 |
$354.93 |
| 90734 |
|
45 |
45 |
$189.00 |
| 90715 |
|
14 |
14 |
$63.00 |
| 92081 |
|
68 |
68 |
$60.79 |
| 90620 |
|
13 |
13 |
$54.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
637 |
625 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$0.00 |