| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,262 |
1,009 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,379 |
1,290 |
$8K |
| 96127 |
|
746 |
664 |
$8K |
| 92551 |
|
692 |
692 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
561 |
560 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
412 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
305 |
287 |
$2K |
| 83655 |
|
64 |
64 |
$683.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
46 |
45 |
$670.68 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
401 |
401 |
$580.02 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
198 |
198 |
$545.34 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
286 |
286 |
$535.09 |
| 99173 |
|
709 |
709 |
$388.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
257 |
252 |
$371.56 |
| 85018 |
|
108 |
108 |
$225.72 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
402 |
402 |
$143.15 |
| 90686 |
|
12 |
12 |
$0.12 |
| 90461 |
|
48 |
48 |
$0.00 |