| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
112 |
94 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
332 |
282 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
110 |
80 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
553 |
460 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
66 |
53 |
$3K |
| 99460 |
|
37 |
31 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
161 |
126 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
26 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
13 |
$1K |
| 99462 |
|
18 |
13 |
$403.86 |
| 90670 |
|
47 |
26 |
$0.00 |
| 90686 |
|
140 |
101 |
$0.00 |
| 90688 |
|
48 |
42 |
$0.00 |
| 90647 |
|
17 |
13 |
$0.00 |