| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
7,431 |
7,414 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,487 |
2,452 |
$124K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,307 |
4,260 |
$119K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,463 |
2,454 |
$80K |
| 99381 |
|
631 |
631 |
$72K |
| 92552 |
|
6,191 |
6,178 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,191 |
1,190 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,503 |
3,363 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,359 |
2,202 |
$35K |
| 90670 |
|
2,859 |
2,825 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
592 |
587 |
$19K |
| 85018 |
|
9,729 |
9,550 |
$15K |
| 90723 |
|
1,971 |
1,949 |
$14K |
| 90697 |
|
127 |
127 |
$11K |
| 90686 |
|
1,906 |
1,901 |
$11K |
| 83655 |
|
961 |
942 |
$9K |
| 90647 |
|
1,250 |
1,237 |
$8K |
| 81000 |
|
4,371 |
4,356 |
$8K |
| 90681 |
|
1,005 |
1,004 |
$7K |
| 90633 |
|
1,071 |
1,059 |
$6K |
| 99173 |
|
4,153 |
4,151 |
$6K |
| 92551 |
|
573 |
559 |
$6K |
| 90648 |
|
544 |
540 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
133 |
132 |
$1K |
| 90677 |
|
289 |
289 |
$1K |
| 90685 |
|
127 |
123 |
$1K |
| 90716 |
|
235 |
231 |
$1K |
| 96127 |
|
539 |
539 |
$1K |
| 90707 |
|
202 |
198 |
$1K |
| 81002 |
|
445 |
445 |
$1K |
| 90658 |
|
222 |
212 |
$882.00 |
| 90700 |
|
125 |
125 |
$729.00 |
| 90680 |
|
58 |
58 |
$522.00 |
| 90651 |
|
158 |
158 |
$414.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
31 |
31 |
$340.40 |
| 90734 |
|
65 |
65 |
$333.00 |
| 90696 |
|
76 |
76 |
$324.00 |
| 90710 |
|
82 |
82 |
$315.00 |
| 90619 |
|
25 |
25 |
$81.00 |
| 92081 |
|
360 |
359 |
$0.00 |
| 90461 |
|
40 |
32 |
$0.00 |