| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,416 |
1,361 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,438 |
1,358 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,159 |
1,122 |
$103K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
940 |
920 |
$95K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,459 |
3,183 |
$57K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,475 |
1,406 |
$51K |
| 96127 |
|
9,758 |
5,910 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,204 |
1,134 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,950 |
1,853 |
$16K |
| 92551 |
|
2,625 |
2,544 |
$5K |
| D1206 |
Topical application of fluoride varnish |
465 |
441 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
160 |
139 |
$4K |
| 96161 |
|
913 |
842 |
$3K |
| 90474 |
|
141 |
129 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
416 |
393 |
$909.26 |
| 99381 |
|
16 |
13 |
$753.13 |
| 83655 |
|
27 |
26 |
$360.24 |
| 96160 |
|
104 |
98 |
$239.36 |
| 99173 |
|
2,998 |
2,907 |
$211.12 |
| 90480 |
|
15 |
13 |
$141.95 |
| 90734 |
|
278 |
268 |
$0.00 |
| 90681 |
|
210 |
198 |
$0.00 |
| 90633 |
|
202 |
186 |
$0.00 |
| 90715 |
|
56 |
54 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 90677 |
|
1,030 |
965 |
$0.00 |
| 90656 |
|
1,703 |
1,479 |
$0.00 |
| 90686 |
|
76 |
74 |
$0.00 |
| 90697 |
|
627 |
590 |
$0.00 |
| 90651 |
|
372 |
353 |
$0.00 |
| 90620 |
|
48 |
46 |
$0.00 |
| 90680 |
|
14 |
14 |
$0.00 |