| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,238 |
2,147 |
$420K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
26,677 |
24,177 |
$322K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39,368 |
35,827 |
$248K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,399 |
863 |
$144K |
| 99382 |
|
870 |
546 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
883 |
545 |
$78K |
| 99381 |
|
664 |
388 |
$71K |
| 99383 |
|
117 |
62 |
$11K |
| 99384 |
|
38 |
37 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,327 |
1,276 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
38 |
$5K |
| 90716 |
|
11,592 |
10,915 |
$4K |
| 90651 |
|
7,805 |
7,496 |
$3K |
| 90707 |
|
11,304 |
10,633 |
$2K |
| 92551 |
|
651 |
560 |
$2K |
| 90473 |
|
206 |
196 |
$2K |
| 90715 |
|
10,390 |
10,007 |
$1K |
| 99173 |
|
686 |
600 |
$1K |
| 90677 |
|
1,151 |
1,046 |
$851.16 |
| 90670 |
|
4,644 |
4,353 |
$845.55 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,409 |
1,683 |
$633.04 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$335.59 |
| 99401 |
|
157 |
133 |
$257.16 |
| 90686 |
|
2,028 |
1,955 |
$114.44 |
| 90647 |
|
1,733 |
1,598 |
$104.92 |
| 90681 |
|
1,765 |
1,492 |
$102.50 |
| 36415 |
Collection of venous blood by venipuncture |
14 |
14 |
$16.20 |
| 96127 |
|
119 |
107 |
$5.43 |
| 90698 |
|
3,550 |
3,211 |
$0.01 |
| 90633 |
|
6,330 |
5,999 |
$0.01 |
| 90700 |
|
2,351 |
2,242 |
$0.01 |
| 90697 |
|
2,023 |
1,540 |
$0.00 |
| 90696 |
|
7,157 |
6,869 |
$0.00 |
| 90723 |
|
984 |
926 |
$0.00 |
| 90744 |
|
1,608 |
1,529 |
$0.00 |
| 90619 |
|
1,245 |
1,242 |
$0.00 |
| 90656 |
|
51 |
46 |
$0.00 |
| 90688 |
|
23 |
22 |
$0.00 |
| 90671 |
|
1,395 |
813 |
$0.00 |
| 90734 |
|
4,558 |
4,400 |
$0.00 |
| 90713 |
|
860 |
819 |
$0.00 |
| 90685 |
|
72 |
69 |
$0.00 |