| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,597 |
1,373 |
$117K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
994 |
985 |
$75K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,082 |
2,315 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,204 |
1,128 |
$42K |
| 99429 |
|
1,157 |
1,142 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
343 |
338 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,031 |
2,011 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
579 |
$13K |
| 90461 |
|
1,528 |
1,338 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
95 |
$8K |
| 99460 |
|
101 |
101 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
101 |
101 |
$6K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
231 |
218 |
$3K |
| 87807 |
|
179 |
171 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
150 |
141 |
$2K |
| 69210 |
|
45 |
45 |
$977.86 |
| 90670 |
|
991 |
980 |
$0.00 |
| 90734 |
|
14 |
14 |
$0.00 |
| 90633 |
|
367 |
363 |
$0.00 |
| 90700 |
|
152 |
150 |
$0.00 |
| 90707 |
|
341 |
337 |
$0.00 |
| 90696 |
|
54 |
54 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90647 |
|
730 |
722 |
$0.00 |
| 90680 |
|
708 |
700 |
$0.00 |
| 90723 |
|
757 |
749 |
$0.00 |
| 90716 |
|
356 |
351 |
$0.00 |
| 90686 |
|
1,005 |
990 |
$0.00 |