| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
583 |
431 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
520 |
516 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
127 |
127 |
$6K |
| 96150 |
|
190 |
190 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
96 |
93 |
$4K |
| 96151 |
|
156 |
156 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,052 |
978 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 90686 |
|
66 |
66 |
$585.00 |
| 90670 |
|
43 |
42 |
$583.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
25 |
24 |
$175.57 |
| 99406 |
|
261 |
260 |
$146.82 |
| 94760 |
|
170 |
159 |
$64.29 |
| 96127 |
|
21 |
19 |
$4.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
478 |
470 |
$0.00 |
| 99072 |
|
132 |
128 |
$0.00 |
| 90461 |
|
160 |
160 |
$0.00 |
| 96160 |
|
14 |
14 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$0.00 |
| E0700 |
Safety equipment, device or accessory, any type |
141 |
127 |
$0.00 |