| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
912 |
863 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
81 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
251 |
195 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
27 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
26 |
26 |
$2K |
| 90461 |
|
41 |
39 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
27 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
32 |
31 |
$519.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,353 |
3,584 |
$390.66 |
| 90658 |
|
13 |
13 |
$158.30 |
| 3008F |
|
1,821 |
1,014 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
114 |
51 |
$0.00 |
| 3074F |
|
566 |
314 |
$0.00 |
| 1159F |
|
1,435 |
810 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
24 |
24 |
$0.00 |
| 1160F |
|
598 |
335 |
$0.00 |
| 3078F |
|
512 |
291 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
105 |
102 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
59 |
$0.00 |