| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92081 |
|
2,460 |
2,446 |
$75K |
| 92552 |
|
2,188 |
2,176 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
710 |
705 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
737 |
$28K |
| 90686 |
|
1,310 |
1,301 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
207 |
203 |
$6K |
| 81000 |
|
1,048 |
1,014 |
$2K |
| 0001A |
|
56 |
56 |
$2K |
| 86580 |
|
512 |
492 |
$2K |
| 0002A |
|
36 |
36 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
25 |
25 |
$1K |
| 90670 |
|
136 |
130 |
$1K |
| 90651 |
|
108 |
107 |
$912.64 |
| 90734 |
|
87 |
87 |
$753.92 |
| G9920 |
Screening performed and negative |
1,708 |
1,661 |
$751.10 |
| 90700 |
|
84 |
79 |
$634.88 |
| 85018 |
|
281 |
272 |
$508.86 |
| 90713 |
|
43 |
39 |
$327.36 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,530 |
2,237 |
$298.60 |
| 90685 |
|
25 |
25 |
$168.64 |
| 90619 |
|
16 |
16 |
$148.80 |
| 90715 |
|
15 |
14 |
$79.36 |
| 99173 |
|
28 |
28 |
$0.00 |
| 97802 |
|
284 |
284 |
$0.00 |
| 92551 |
|
28 |
28 |
$0.00 |