| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
541 |
540 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
51 |
$5K |
| 90461 |
|
191 |
191 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
191 |
169 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$933.28 |
| 92551 |
|
86 |
84 |
$761.14 |
| 99406 |
|
37 |
37 |
$209.10 |
| 96127 |
|
54 |
52 |
$90.27 |
| 90686 |
|
83 |
83 |
$62.55 |
| 90656 |
|
24 |
24 |
$22.35 |
| 90710 |
|
14 |
14 |
$17.85 |
| 99173 |
|
31 |
31 |
$9.54 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
56 |
53 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
129 |
120 |
$0.00 |
| 3008F |
|
142 |
137 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
13 |
13 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |