| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
690 |
688 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
260 |
258 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
387 |
387 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
155 |
154 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
175 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
67 |
67 |
$7K |
| 99460 |
|
47 |
46 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
30 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
33 |
33 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 85018 |
|
134 |
134 |
$413.41 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
52 |
51 |
$412.30 |
| 36416 |
|
60 |
59 |
$8.88 |
| 90686 |
|
237 |
237 |
$0.00 |
| 90698 |
|
173 |
173 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$0.00 |
| 90670 |
|
150 |
150 |
$0.00 |
| 90633 |
|
26 |
26 |
$0.00 |