| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
820 |
806 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
523 |
516 |
$12K |
| G9920 |
Screening performed and negative |
743 |
721 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
539 |
530 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
329 |
327 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,456 |
4,079 |
$6K |
| 92551 |
|
1,256 |
1,233 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
648 |
322 |
$3K |
| 92552 |
|
384 |
383 |
$3K |
| 90686 |
|
695 |
690 |
$3K |
| 99173 |
|
371 |
370 |
$834.50 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
75 |
73 |
$525.20 |
| 90651 |
|
118 |
116 |
$466.65 |
| 90734 |
|
90 |
89 |
$295.20 |
| 92081 |
|
1,235 |
1,212 |
$142.95 |
| 90707 |
|
15 |
14 |
$81.00 |
| 90715 |
|
13 |
13 |
$72.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
535 |
500 |
$54.30 |
| 90674 |
|
18 |
18 |
$54.00 |
| 90621 |
|
15 |
15 |
$45.00 |
| 90685 |
|
13 |
13 |
$36.00 |
| 90716 |
|
13 |
12 |
$36.00 |
| 90687 |
|
36 |
36 |
$8.32 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
340 |
335 |
$0.00 |
| 96127 |
|
13 |
13 |
$0.00 |