| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
475 |
425 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
389 |
351 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
989 |
788 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
460 |
427 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
249 |
236 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
145 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
169 |
150 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
657 |
593 |
$7K |
| 92551 |
|
619 |
548 |
$5K |
| 99173 |
|
613 |
548 |
$3K |
| 96127 |
|
218 |
205 |
$932.84 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
19 |
$355.46 |
| 85018 |
|
26 |
26 |
$53.93 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
16 |
$27.42 |
| 90723 |
|
151 |
131 |
$0.00 |
| 90686 |
|
169 |
155 |
$0.00 |
| 90651 |
|
91 |
86 |
$0.00 |
| 90716 |
|
119 |
99 |
$0.00 |
| 90670 |
|
173 |
153 |
$0.00 |
| 90734 |
|
69 |
67 |
$0.00 |
| 90707 |
|
88 |
69 |
$0.00 |
| 90633 |
|
74 |
67 |
$0.00 |
| 90648 |
|
154 |
134 |
$0.00 |
| 90461 |
|
40 |
39 |
$0.00 |
| 90681 |
|
23 |
19 |
$0.00 |
| 90715 |
|
26 |
25 |
$0.00 |