| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36,360 |
35,938 |
$878K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,396 |
8,157 |
$331K |
| G9920 |
Screening performed and negative |
24,676 |
24,345 |
$285K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,742 |
15,533 |
$265K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,029 |
30,653 |
$250K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,854 |
8,809 |
$142K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
911 |
876 |
$110K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,393 |
13,224 |
$54K |
| 83655 |
|
3,982 |
3,955 |
$39K |
| 92551 |
|
8,207 |
8,191 |
$36K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18,713 |
18,482 |
$33K |
| 90700 |
|
9,056 |
8,965 |
$33K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,775 |
1,733 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,817 |
1,814 |
$28K |
| 90713 |
|
7,068 |
7,000 |
$26K |
| 90670 |
|
6,208 |
6,128 |
$24K |
| 92552 |
|
3,877 |
3,877 |
$21K |
| 90744 |
|
5,140 |
5,083 |
$21K |
| 99460 |
|
642 |
638 |
$19K |
| 99462 |
|
1,057 |
585 |
$18K |
| 90680 |
|
3,720 |
3,682 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,491 |
1,480 |
$16K |
| 85018 |
|
15,797 |
15,745 |
$15K |
| 90648 |
|
4,479 |
4,421 |
$15K |
| 99000 |
|
9,429 |
9,388 |
$15K |
| 90633 |
|
4,045 |
3,992 |
$12K |
| 90716 |
|
4,134 |
4,096 |
$11K |
| 99381 |
|
669 |
661 |
$11K |
| 90707 |
|
4,028 |
3,997 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
521 |
521 |
$10K |
| 90647 |
|
1,859 |
1,853 |
$9K |
| 97803 |
|
13,960 |
13,890 |
$8K |
| 99383 |
|
405 |
405 |
$7K |
| 99382 |
|
332 |
329 |
$6K |
| 90658 |
|
1,266 |
1,255 |
$3K |
| 92081 |
|
8,851 |
8,840 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
253 |
243 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
585 |
584 |
$2K |
| 82465 |
|
1,436 |
1,434 |
$2K |
| 90685 |
|
397 |
395 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
94 |
92 |
$933.57 |
| 81002 |
|
1,303 |
1,293 |
$864.32 |
| 99173 |
|
194 |
194 |
$674.72 |
| 90715 |
|
349 |
349 |
$616.94 |
| 99384 |
|
25 |
25 |
$394.68 |
| 90657 |
|
522 |
517 |
$387.00 |
| 90734 |
|
252 |
252 |
$378.00 |
| 90649 |
|
13 |
13 |
$54.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$13.84 |
| 36415 |
Collection of venous blood by venipuncture |
2,911 |
2,905 |
$0.00 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
62 |
62 |
$0.00 |