| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,470 |
2,424 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,507 |
5,060 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,630 |
3,598 |
$23K |
| 92551 |
|
4,059 |
4,050 |
$16K |
| 96156 |
|
4,689 |
4,655 |
$12K |
| 90670 |
|
2,585 |
2,493 |
$11K |
| 90686 |
|
3,260 |
3,080 |
$10K |
| 90680 |
|
1,956 |
1,891 |
$9K |
| 90698 |
|
2,165 |
2,098 |
$9K |
| 90744 |
|
1,495 |
1,452 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
457 |
432 |
$5K |
| 90633 |
|
1,641 |
1,585 |
$5K |
| 0071A |
|
118 |
116 |
$4K |
| 90716 |
|
1,142 |
1,099 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,345 |
1,342 |
$4K |
| 99381 |
|
36 |
31 |
$4K |
| 90707 |
|
1,070 |
1,030 |
$3K |
| 99460 |
|
14 |
14 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,760 |
5,597 |
$3K |
| 0072A |
|
61 |
61 |
$2K |
| 90671 |
|
422 |
422 |
$2K |
| 0081A |
|
47 |
47 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
234 |
234 |
$1K |
| 90696 |
|
368 |
349 |
$1K |
| 0082A |
|
27 |
26 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
288 |
286 |
$700.23 |
| G9920 |
Screening performed and negative |
511 |
509 |
$696.00 |
| 90700 |
|
368 |
349 |
$508.00 |
| 90756 |
|
109 |
98 |
$440.00 |
| 97802 |
|
679 |
679 |
$439.53 |
| 90651 |
|
210 |
203 |
$407.00 |
| 90655 |
|
39 |
39 |
$351.00 |
| 90648 |
|
316 |
293 |
$258.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
681 |
678 |
$238.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$216.15 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,829 |
1,812 |
$162.30 |
| 90710 |
|
45 |
38 |
$157.00 |
| 90685 |
|
122 |
119 |
$147.00 |
| 90461 |
|
3,128 |
3,037 |
$140.00 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
90 |
90 |
$104.30 |
| 90715 |
|
25 |
25 |
$95.00 |
| 90734 |
|
26 |
26 |
$68.00 |
| 96127 |
|
433 |
433 |
$38.33 |
| 90656 |
|
271 |
270 |
$36.00 |
| 90688 |
|
52 |
51 |
$20.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$6.92 |
| 96160 |
|
1,460 |
1,448 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
80 |
76 |
$0.00 |
| 3078F |
|
195 |
195 |
$0.00 |
| 3074F |
|
198 |
198 |
$0.00 |