| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,129 |
1,919 |
$34K |
| 90670 |
|
1,577 |
1,510 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,619 |
1,472 |
$19K |
| 92551 |
|
1,258 |
1,208 |
$19K |
| 90686 |
|
1,091 |
928 |
$16K |
| 96127 |
|
657 |
634 |
$9K |
| 90633 |
|
905 |
838 |
$9K |
| 90698 |
|
1,003 |
946 |
$9K |
| 99173 |
|
1,216 |
1,171 |
$9K |
| 90734 |
|
561 |
513 |
$8K |
| 91320 |
|
39 |
14 |
$6K |
| 90715 |
|
367 |
335 |
$5K |
| H1000 |
Prenatal care, at-risk assessment |
333 |
324 |
$5K |
| 90710 |
|
396 |
357 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
136 |
112 |
$4K |
| 90716 |
|
194 |
174 |
$4K |
| 86580 |
|
873 |
738 |
$4K |
| 90744 |
|
414 |
399 |
$3K |
| 99381 |
|
106 |
100 |
$3K |
| 90651 |
|
112 |
105 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
651 |
601 |
$3K |
| 90696 |
|
246 |
223 |
$3K |
| 90707 |
|
166 |
142 |
$3K |
| 90677 |
|
130 |
130 |
$2K |
| 85018 |
|
920 |
864 |
$2K |
| 0134A |
|
55 |
34 |
$2K |
| 90656 |
|
93 |
57 |
$2K |
| 90619 |
|
95 |
91 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
181 |
126 |
$957.45 |
| 90697 |
|
41 |
39 |
$685.11 |
| 90756 |
|
32 |
20 |
$669.75 |
| D1206 |
Topical application of fluoride varnish |
24 |
24 |
$624.00 |
| 90671 |
|
31 |
27 |
$519.75 |
| 90700 |
|
45 |
38 |
$434.11 |
| 90688 |
|
18 |
17 |
$341.76 |
| 90723 |
|
25 |
24 |
$160.00 |
| 90680 |
|
12 |
12 |
$150.72 |
| 36416 |
|
13 |
13 |
$53.30 |