| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
971 |
963 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
840 |
805 |
$70K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,831 |
1,967 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
280 |
280 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
145 |
144 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
900 |
652 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
74 |
$3K |
| 90461 |
|
493 |
419 |
$3K |
| 92551 |
|
106 |
98 |
$433.30 |
| 96160 |
|
114 |
114 |
$267.24 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$261.24 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
67 |
66 |
$185.00 |
| 90677 |
|
95 |
93 |
$0.54 |
| 90686 |
|
303 |
298 |
$0.41 |
| 90697 |
|
30 |
30 |
$0.05 |
| 90648 |
|
251 |
249 |
$0.01 |
| 90670 |
|
396 |
396 |
$0.01 |
| 90723 |
|
162 |
161 |
$0.01 |
| 90651 |
|
14 |
14 |
$0.01 |
| 90710 |
|
12 |
12 |
$0.00 |
| 99173 |
|
150 |
146 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
71 |
71 |
$0.00 |
| 90633 |
|
93 |
93 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90680 |
|
144 |
143 |
$0.00 |