| Code | Description | Claims | Beneficiaries | Total Paid |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,720 |
8,632 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,653 |
1,636 |
$68.68 |
| 99384 |
|
117 |
117 |
$65.12 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,710 |
7,104 |
$49.92 |
| 92552 |
|
9,561 |
9,446 |
$30.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$18.56 |
| 90686 |
|
3,765 |
3,751 |
$15.00 |
| 90734 |
|
1,607 |
1,597 |
$10.00 |
| 90651 |
|
1,994 |
1,985 |
$10.00 |
| 90620 |
|
905 |
902 |
$10.00 |
| 94760 |
|
621 |
602 |
$5.53 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
3,335 |
3,300 |
$0.01 |
| 90681 |
|
446 |
439 |
$0.00 |
| 90648 |
|
2,045 |
2,027 |
$0.00 |
| 90671 |
|
600 |
586 |
$0.00 |
| G9920 |
Screening performed and negative |
5,691 |
5,586 |
$0.00 |
| 99188 |
|
4,018 |
3,971 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,043 |
3,020 |
$0.00 |
| 99173 |
|
9,401 |
9,297 |
$0.00 |
| 96160 |
|
2,075 |
2,036 |
$0.00 |
| 90633 |
|
1,459 |
1,449 |
$0.00 |
| 1159F |
|
2,610 |
2,549 |
$0.00 |
| 90710 |
|
604 |
603 |
$0.00 |
| 90700 |
|
678 |
678 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,166 |
4,126 |
$0.00 |
| 90670 |
|
1,353 |
1,348 |
$0.00 |
| 90715 |
|
904 |
899 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,145 |
3,120 |
$0.00 |
| 1160F |
|
2,967 |
2,880 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
217 |
217 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,099 |
1,047 |
$0.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
1,049 |
1,040 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
459 |
459 |
$0.00 |
| 81003 |
|
200 |
188 |
$0.00 |
| 90707 |
|
393 |
388 |
$0.00 |
| 99408 |
|
264 |
240 |
$0.00 |
| 90713 |
|
70 |
69 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
400 |
399 |
$0.00 |
| 1033F |
|
537 |
536 |
$0.00 |
| 1032F |
|
46 |
45 |
$0.00 |
| 99382 |
|
67 |
66 |
$0.00 |
| 91320 |
|
13 |
13 |
$0.00 |
| G9919 |
Screening performed and positive and provision of recommendations |
31 |
29 |
$0.00 |
| 0071A |
|
79 |
79 |
$0.00 |
| 91312 |
|
12 |
12 |
$0.00 |
| 90696 |
|
514 |
512 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
913 |
892 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,192 |
2,608 |
$0.00 |
| 96156 |
|
742 |
741 |
$0.00 |
| 3008F |
|
14,501 |
13,701 |
$0.00 |
| 90716 |
|
467 |
462 |
$0.00 |
| 96127 |
|
751 |
747 |
$0.00 |
| 90723 |
|
1,197 |
1,185 |
$0.00 |
| 2001F |
|
26 |
26 |
$0.00 |
| 91307 |
|
118 |
116 |
$0.00 |
| 99383 |
|
507 |
503 |
$0.00 |
| 1005F |
|
2,227 |
2,188 |
$0.00 |
| 94010 |
|
424 |
424 |
$0.00 |
| 2010F |
|
2,465 |
2,404 |
$0.00 |
| 1036F |
|
923 |
889 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 96161 |
|
665 |
645 |
$0.00 |
| 90480 |
|
98 |
90 |
$0.00 |
| 1031F |
|
307 |
307 |
$0.00 |
| 92567 |
|
14 |
14 |
$0.00 |
| 2000F |
|
849 |
807 |
$0.00 |
| 91319 |
|
15 |
14 |
$0.00 |
| 91315 |
|
29 |
27 |
$0.00 |
| 0072A |
|
88 |
88 |
$0.00 |
| 1125F |
|
12 |
12 |
$0.00 |