| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
763 |
584 |
$8K |
| 90685 |
|
225 |
177 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
466 |
358 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
995 |
867 |
$2K |
| 90677 |
|
129 |
111 |
$2K |
| 99188 |
|
146 |
127 |
$1K |
| 90656 |
|
61 |
61 |
$1K |
| 90680 |
|
79 |
65 |
$1K |
| 90697 |
|
69 |
55 |
$1K |
| 90686 |
|
62 |
54 |
$919.96 |
| 90670 |
|
49 |
44 |
$806.09 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
138 |
119 |
$525.04 |
| 96161 |
|
130 |
103 |
$316.40 |
| 90633 |
|
25 |
15 |
$242.71 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
132 |
95 |
$18.76 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
56 |
$10.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
35 |
25 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
30 |
29 |
$0.00 |
| 99382 |
|
15 |
15 |
$0.00 |
| 99383 |
|
48 |
41 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
139 |
124 |
$0.00 |