| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
9,367 |
9,335 |
$562K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,693 |
6,666 |
$306K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,551 |
5,545 |
$222K |
| G9920 |
Screening performed and negative |
7,301 |
7,285 |
$142K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,845 |
11,479 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,692 |
2,690 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,500 |
3,476 |
$118K |
| 92551 |
|
9,011 |
9,001 |
$101K |
| 96151 |
|
3,160 |
3,147 |
$65K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,330 |
4,118 |
$62K |
| 90686 |
|
6,773 |
6,756 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,627 |
1,583 |
$50K |
| 81000 |
|
8,940 |
8,922 |
$34K |
| 99173 |
|
5,341 |
5,330 |
$23K |
| 90670 |
|
1,421 |
1,406 |
$15K |
| 90723 |
|
1,184 |
1,167 |
$11K |
| 90648 |
|
1,085 |
1,074 |
$11K |
| 90651 |
|
1,427 |
1,425 |
$10K |
| 90633 |
|
746 |
742 |
$9K |
| 85018 |
|
1,416 |
1,412 |
$6K |
| 96150 |
|
471 |
455 |
$6K |
| 0072A |
|
146 |
146 |
$6K |
| 0071A |
|
145 |
145 |
$6K |
| 90715 |
|
742 |
742 |
$6K |
| 90681 |
|
412 |
405 |
$4K |
| 90734 |
|
341 |
341 |
$4K |
| 86580 |
|
460 |
457 |
$3K |
| 90707 |
|
238 |
237 |
$3K |
| 99381 |
|
64 |
58 |
$3K |
| 90619 |
|
570 |
569 |
$2K |
| 90696 |
|
218 |
218 |
$2K |
| 90710 |
|
220 |
220 |
$2K |
| 90716 |
|
102 |
102 |
$1K |
| 90621 |
|
315 |
315 |
$1K |
| 90685 |
|
99 |
99 |
$1K |
| 90700 |
|
54 |
54 |
$946.39 |
| 90658 |
|
96 |
96 |
$903.92 |
| 90672 |
|
69 |
69 |
$360.00 |
| 90677 |
|
322 |
317 |
$225.00 |
| 92552 |
|
227 |
226 |
$218.11 |
| 90744 |
|
64 |
64 |
$162.00 |
| 90656 |
|
361 |
361 |
$72.00 |
| 90674 |
|
270 |
270 |
$63.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
73 |
70 |
$1.00 |
| 90661 |
|
127 |
127 |
$0.00 |