| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,701 |
3,577 |
$275K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,447 |
3,162 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,013 |
2,921 |
$231K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,312 |
2,028 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,827 |
7,827 |
$152K |
| 99429 |
|
3,056 |
2,962 |
$95K |
| 90461 |
|
5,676 |
4,652 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,736 |
2,802 |
$28K |
| 99381 |
|
340 |
330 |
$25K |
| 96161 |
|
2,865 |
2,505 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
516 |
477 |
$4K |
| 99383 |
|
44 |
43 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
521 |
454 |
$3K |
| 83655 |
|
470 |
445 |
$3K |
| 90620 |
|
164 |
131 |
$2K |
| 0001A |
|
51 |
49 |
$2K |
| 90651 |
|
738 |
641 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
149 |
92 |
$1K |
| 99384 |
|
13 |
13 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
85 |
79 |
$893.49 |
| 90734 |
|
714 |
619 |
$845.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25 |
19 |
$651.80 |
| 90686 |
|
2,890 |
2,738 |
$400.51 |
| 90670 |
|
2,339 |
2,286 |
$192.08 |
| 85018 |
|
731 |
672 |
$140.49 |
| 80061 |
Lipid panel |
93 |
75 |
$131.64 |
| 90715 |
|
367 |
330 |
$34.03 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
7,478 |
6,949 |
$3.83 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
32 |
29 |
$0.01 |
| 90648 |
|
854 |
842 |
$0.00 |
| 90633 |
|
852 |
816 |
$0.00 |
| 90710 |
|
243 |
242 |
$0.00 |
| 90707 |
|
223 |
210 |
$0.00 |
| 90700 |
|
201 |
198 |
$0.00 |
| 91300 |
|
51 |
49 |
$0.00 |
| 90723 |
|
293 |
288 |
$0.00 |
| 90698 |
|
753 |
739 |
$0.00 |
| 90680 |
|
1,197 |
1,178 |
$0.00 |
| 90696 |
|
236 |
235 |
$0.00 |
| 90744 |
|
270 |
268 |
$0.00 |
| 96127 |
|
609 |
521 |
$0.00 |
| 90716 |
|
227 |
214 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
32 |
25 |
$0.00 |