| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,538 |
4,378 |
$203K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,742 |
2,451 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,531 |
3,082 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,000 |
1,703 |
$42K |
| 92552 |
|
1,877 |
1,871 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,299 |
1,232 |
$23K |
| 90686 |
|
1,651 |
1,555 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,042 |
29,756 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
769 |
637 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
960 |
944 |
$13K |
| 90698 |
|
424 |
338 |
$12K |
| 90656 |
|
847 |
840 |
$8K |
| 92551 |
|
3,195 |
3,078 |
$7K |
| 90658 |
|
514 |
489 |
$5K |
| 90710 |
|
328 |
254 |
$2K |
| 97803 |
|
2,358 |
2,309 |
$2K |
| 90670 |
|
265 |
251 |
$2K |
| 90633 |
|
271 |
191 |
$2K |
| 90655 |
|
199 |
170 |
$2K |
| 90734 |
|
149 |
128 |
$1K |
| 90715 |
|
151 |
130 |
$1K |
| 90650 |
|
105 |
104 |
$802.60 |
| 90620 |
|
120 |
94 |
$733.16 |
| 90700 |
|
104 |
89 |
$733.16 |
| 90649 |
|
115 |
95 |
$694.40 |
| 90661 |
|
24 |
24 |
$690.00 |
| 99384 |
|
15 |
15 |
$652.68 |
| 86580 |
|
260 |
226 |
$467.30 |
| 90657 |
|
48 |
48 |
$334.95 |
| 90744 |
|
34 |
27 |
$206.48 |
| 99173 |
|
2,096 |
2,035 |
$204.48 |
| 81003 |
|
70 |
70 |
$157.38 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19 |
15 |
$153.52 |
| 90713 |
|
14 |
14 |
$138.88 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
543 |
$95.75 |
| 99406 |
|
1,348 |
1,312 |
$73.34 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,189 |
1,568 |
$36.63 |
| G9919 |
Screening performed and positive and provision of recommendations |
453 |
434 |
$27.00 |
| 3079F |
|
394 |
381 |
$0.00 |
| 3074F |
|
1,781 |
1,701 |
$0.00 |
| 3075F |
|
117 |
116 |
$0.00 |
| 81002 |
|
1,908 |
1,853 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
923 |
895 |
$0.00 |
| 3078F |
|
1,426 |
1,370 |
$0.00 |
| 81025 |
|
44 |
44 |
$0.00 |