| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,024 |
986 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
570 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
255 |
250 |
$10K |
| G9920 |
Screening performed and negative |
793 |
781 |
$8K |
| 97802 |
|
386 |
375 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
275 |
263 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
322 |
310 |
$2K |
| 99215 |
Prolong outpt/office vis |
33 |
32 |
$1K |
| 97803 |
|
255 |
254 |
$973.38 |
| 99381 |
|
13 |
13 |
$891.44 |
| 92551 |
|
139 |
136 |
$871.78 |
| 99382 |
|
16 |
16 |
$746.56 |
| 90698 |
|
134 |
134 |
$676.80 |
| 99383 |
|
12 |
12 |
$651.36 |
| 90671 |
|
131 |
131 |
$635.40 |
| 85018 |
|
407 |
403 |
$521.65 |
| 90744 |
|
109 |
108 |
$509.63 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$490.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
464 |
458 |
$225.24 |
| 90681 |
|
31 |
31 |
$112.50 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$82.26 |
| 90677 |
|
13 |
13 |
$42.75 |
| 81002 |
|
96 |
94 |
$9.48 |
| 36416 |
|
247 |
243 |
$0.00 |
| 90461 |
|
311 |
310 |
$0.00 |
| 99173 |
|
65 |
64 |
$0.00 |