| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,599 |
2,568 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,374 |
5,954 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,992 |
2,984 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,867 |
1,857 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
794 |
770 |
$24K |
| G9920 |
Screening performed and negative |
4,013 |
4,008 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,809 |
4,069 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
526 |
523 |
$10K |
| 92551 |
|
3,717 |
3,694 |
$8K |
| 97802 |
|
3,545 |
3,536 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
804 |
772 |
$5K |
| 0071A |
|
165 |
138 |
$4K |
| 0072A |
|
124 |
119 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,675 |
1,608 |
$4K |
| 90670 |
|
993 |
975 |
$3K |
| 90686 |
|
1,385 |
1,381 |
$3K |
| 90716 |
|
485 |
485 |
$3K |
| 90648 |
|
1,055 |
1,034 |
$3K |
| 90461 |
|
2,098 |
2,081 |
$2K |
| 92081 |
|
3,161 |
3,148 |
$2K |
| 92552 |
|
118 |
116 |
$1K |
| 90723 |
|
472 |
466 |
$1K |
| 90685 |
|
302 |
287 |
$1K |
| 90633 |
|
413 |
412 |
$962.43 |
| 90700 |
|
400 |
400 |
$917.55 |
| 90707 |
|
378 |
378 |
$862.88 |
| 0001A |
|
29 |
17 |
$680.00 |
| 90734 |
|
98 |
98 |
$547.43 |
| 90680 |
|
101 |
101 |
$371.43 |
| 99173 |
|
128 |
127 |
$359.04 |
| 3078F |
|
8,847 |
8,259 |
$322.50 |
| 3074F |
|
8,791 |
8,212 |
$303.00 |
| 3008F |
|
8,832 |
8,247 |
$278.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
3,362 |
3,350 |
$270.00 |
| 87110 |
|
74 |
74 |
$186.69 |
| 90713 |
|
59 |
59 |
$135.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
38 |
38 |
$92.08 |
| 90744 |
|
14 |
14 |
$54.00 |
| 90715 |
|
14 |
14 |
$51.00 |
| 81002 |
|
142 |
140 |
$47.13 |
| 90649 |
|
36 |
36 |
$41.00 |
| 86580 |
|
13 |
13 |
$40.03 |
| 91300 |
|
43 |
38 |
$15.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
226 |
226 |
$0.00 |
| 1036F |
|
172 |
172 |
$0.00 |
| 91307 |
|
75 |
64 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |