| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,580 |
8,536 |
$205K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,410 |
5,370 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,821 |
2,764 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,012 |
3,004 |
$52K |
| 92552 |
|
6,669 |
6,649 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,167 |
3,046 |
$30K |
| 90686 |
|
3,694 |
3,685 |
$22K |
| 90700 |
|
3,634 |
3,628 |
$22K |
| 90670 |
|
2,977 |
2,972 |
$19K |
| 90713 |
|
2,554 |
2,549 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,267 |
5,171 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,502 |
11,209 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
908 |
908 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,554 |
2,519 |
$11K |
| 90681 |
|
1,472 |
1,470 |
$9K |
| 99381 |
|
122 |
116 |
$8K |
| 90647 |
|
1,448 |
1,446 |
$8K |
| 90648 |
|
1,123 |
1,121 |
$7K |
| 90744 |
|
1,049 |
1,047 |
$7K |
| 90633 |
|
1,287 |
1,282 |
$6K |
| 90716 |
|
1,218 |
1,214 |
$6K |
| 90707 |
|
1,199 |
1,196 |
$5K |
| 99460 |
|
47 |
47 |
$3K |
| 99173 |
|
5,376 |
5,371 |
$2K |
| 90680 |
|
335 |
334 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
166 |
161 |
$2K |
| 3008F |
|
6,209 |
6,204 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
37 |
$966.02 |
| 99462 |
|
48 |
37 |
$947.18 |
| 90658 |
|
248 |
248 |
$878.35 |
| 90657 |
|
236 |
236 |
$813.00 |
| 90688 |
|
234 |
234 |
$662.30 |
| 90698 |
|
98 |
98 |
$649.00 |
| 90655 |
|
148 |
148 |
$593.75 |
| 85018 |
|
271 |
271 |
$437.13 |
| 69210 |
|
48 |
48 |
$300.44 |
| 90651 |
|
83 |
83 |
$297.00 |
| 90734 |
|
80 |
80 |
$228.00 |
| 86580 |
|
74 |
74 |
$194.92 |
| 90649 |
|
59 |
59 |
$118.00 |
| 90620 |
|
26 |
26 |
$89.00 |
| 96127 |
|
518 |
518 |
$37.69 |
| 90687 |
|
142 |
142 |
$20.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
514 |
514 |
$9.61 |
| 91320 |
|
18 |
17 |
$0.00 |
| 99411 |
|
390 |
376 |
$0.00 |
| 99401 |
|
12 |
12 |
$0.00 |
| 99442 |
|
124 |
118 |
$0.00 |
| 92081 |
|
12 |
12 |
$0.00 |
| 99441 |
|
564 |
539 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
24 |
24 |
$0.00 |
| 99174 |
|
233 |
233 |
$0.00 |
| 97802 |
|
24 |
24 |
$0.00 |
| 90480 |
|
30 |
30 |
$0.00 |
| 92551 |
|
13 |
13 |
$0.00 |