| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
487 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,667 |
1,409 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
267 |
266 |
$22K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
194 |
178 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
914 |
830 |
$7K |
| 92551 |
|
643 |
643 |
$6K |
| 90461 |
|
509 |
431 |
$3K |
| 0071A |
|
28 |
27 |
$1K |
| 90686 |
|
395 |
393 |
$0.00 |
| 85018 |
|
54 |
54 |
$0.00 |
| 91307 |
|
46 |
32 |
$0.00 |
| 90670 |
|
128 |
128 |
$0.00 |
| 90685 |
|
161 |
161 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90648 |
|
36 |
36 |
$0.00 |
| 90672 |
|
27 |
27 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |