| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,847 |
6,828 |
$341K |
| G9920 |
Screening performed and negative |
7,201 |
7,185 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,553 |
4,521 |
$152K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,999 |
3,990 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,646 |
2,599 |
$122K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,151 |
10,006 |
$121K |
| 92552 |
|
10,012 |
9,992 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,775 |
11,580 |
$93K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,286 |
2,281 |
$81K |
| 90461 |
|
2,046 |
1,814 |
$66K |
| 96156 |
|
1,395 |
1,391 |
$44K |
| 99381 |
|
299 |
299 |
$35K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
372 |
341 |
$33K |
| 90686 |
|
4,800 |
4,780 |
$19K |
| 99173 |
|
7,282 |
7,268 |
$16K |
| 99460 |
|
319 |
319 |
$13K |
| 99384 |
|
287 |
287 |
$11K |
| 90670 |
|
2,164 |
2,162 |
$10K |
| 90648 |
|
2,102 |
2,080 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
283 |
283 |
$10K |
| 85018 |
|
4,040 |
4,024 |
$9K |
| 99383 |
|
209 |
209 |
$7K |
| 97802 |
|
4,280 |
4,273 |
$7K |
| 90723 |
|
1,440 |
1,435 |
$7K |
| 0071A |
|
168 |
166 |
$6K |
| 0072A |
|
154 |
154 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
114 |
114 |
$3K |
| 90681 |
|
510 |
510 |
$2K |
| 90680 |
|
445 |
442 |
$2K |
| 0073A |
|
44 |
44 |
$2K |
| 90651 |
|
391 |
391 |
$2K |
| 90633 |
|
784 |
783 |
$2K |
| 0053A |
|
31 |
31 |
$1K |
| 90685 |
|
241 |
235 |
$1K |
| 90710 |
|
595 |
591 |
$828.00 |
| 90656 |
|
126 |
126 |
$639.00 |
| 99382 |
|
15 |
15 |
$542.46 |
| 0004A |
|
12 |
12 |
$480.00 |
| 99462 |
|
18 |
16 |
$354.67 |
| 90700 |
|
180 |
180 |
$306.00 |
| 90734 |
|
287 |
287 |
$245.00 |
| 90697 |
|
14 |
14 |
$181.00 |
| 90619 |
|
12 |
12 |
$178.30 |
| 90620 |
|
116 |
116 |
$145.00 |
| 90696 |
|
48 |
48 |
$108.00 |
| 96150 |
|
17 |
17 |
$80.95 |
| 90715 |
|
12 |
12 |
$70.00 |
| 90621 |
|
98 |
98 |
$56.00 |
| 90716 |
|
16 |
16 |
$41.00 |
| 90707 |
|
16 |
16 |
$41.00 |
| 96127 |
|
724 |
724 |
$37.09 |
| 36416 |
|
1,188 |
1,183 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$0.00 |
| 99401 |
|
49 |
49 |
$0.00 |