| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,414 |
1,409 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,021 |
1,012 |
$88K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,083 |
1,068 |
$84K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,332 |
3,588 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
688 |
662 |
$51K |
| 90461 |
|
1,940 |
1,633 |
$16K |
| 99429 |
|
441 |
431 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,208 |
937 |
$10K |
| 92551 |
|
3,505 |
3,478 |
$3K |
| 96160 |
|
849 |
845 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 99173 |
|
3,460 |
3,426 |
$8.16 |
| 90686 |
|
1,135 |
1,124 |
$0.02 |
| 90715 |
|
68 |
68 |
$0.00 |
| 90707 |
|
179 |
179 |
$0.00 |
| 90670 |
|
528 |
523 |
$0.00 |
| 90734 |
|
174 |
173 |
$0.00 |
| 90633 |
|
148 |
148 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90648 |
|
539 |
534 |
$0.00 |
| 90681 |
|
81 |
81 |
$0.00 |
| 90651 |
|
236 |
233 |
$0.00 |
| 90696 |
|
41 |
38 |
$0.00 |
| 90716 |
|
198 |
195 |
$0.00 |
| 90723 |
|
326 |
326 |
$0.00 |
| 90620 |
|
34 |
33 |
$0.00 |