| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9919 |
Screening performed and positive and provision of recommendations |
1,555 |
1,551 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,238 |
1,224 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
645 |
632 |
$27K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,130 |
2,094 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
940 |
929 |
$22K |
| 97802 |
|
1,485 |
1,472 |
$4K |
| 99188 |
|
89 |
88 |
$2K |
| D1206 |
Topical application of fluoride varnish |
53 |
53 |
$1K |
| 0071A |
|
16 |
16 |
$660.00 |
| 0001A |
|
13 |
13 |
$360.00 |
| 85018 |
|
3,380 |
3,347 |
$28.41 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
89 |
88 |
$17.48 |
| G9920 |
Screening performed and negative |
81 |
81 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
406 |
398 |
$0.00 |