| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,215 |
1,209 |
$103K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,174 |
1,168 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,002 |
983 |
$89K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,578 |
3,668 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
801 |
777 |
$62K |
| 90461 |
|
1,868 |
1,585 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,411 |
1,088 |
$12K |
| 99429 |
|
318 |
314 |
$11K |
| 99050 |
|
39 |
39 |
$4K |
| 0071A |
|
68 |
67 |
$3K |
| 92551 |
|
3,511 |
3,458 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 96160 |
|
712 |
692 |
$2K |
| 99381 |
|
15 |
15 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
24 |
22 |
$554.23 |
| 90648 |
|
563 |
559 |
$55.67 |
| 99173 |
|
3,469 |
3,406 |
$40.80 |
| 90723 |
|
312 |
309 |
$7.00 |
| 90670 |
|
572 |
567 |
$0.03 |
| 90686 |
|
1,194 |
1,167 |
$0.01 |
| 90716 |
|
70 |
70 |
$0.00 |
| 90651 |
|
87 |
87 |
$0.00 |
| 0001A |
|
14 |
14 |
$0.00 |
| 91307 |
|
141 |
133 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90734 |
|
97 |
96 |
$0.00 |
| 90707 |
|
82 |
82 |
$0.00 |
| 90681 |
|
68 |
68 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 91300 |
|
14 |
14 |
$0.00 |
| 90715 |
|
18 |
18 |
$0.00 |