| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
800 |
728 |
$50K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
796 |
737 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
483 |
478 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,638 |
1,568 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
653 |
639 |
$10K |
| 92552 |
|
452 |
449 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
96 |
96 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,025 |
988 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
264 |
$5K |
| 99460 |
|
30 |
30 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
29 |
29 |
$1K |
| 90473 |
|
190 |
185 |
$233.04 |
| 99188 |
|
24 |
24 |
$101.42 |
| 90687 |
|
63 |
63 |
$37.60 |
| 90680 |
|
234 |
229 |
$0.00 |
| 90716 |
|
114 |
113 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
198 |
197 |
$0.00 |
| 36416 |
|
59 |
58 |
$0.00 |
| 90744 |
|
61 |
59 |
$0.00 |
| 97802 |
|
191 |
191 |
$0.00 |
| 90688 |
|
50 |
50 |
$0.00 |
| 90698 |
|
16 |
16 |
$0.00 |
| 99173 |
|
323 |
321 |
$0.00 |
| 90633 |
|
152 |
150 |
$0.00 |
| 97803 |
|
613 |
586 |
$0.00 |
| 90713 |
|
198 |
195 |
$0.00 |
| 90700 |
|
300 |
295 |
$0.00 |
| 90461 |
|
164 |
164 |
$0.00 |
| 99401 |
|
885 |
823 |
$0.00 |
| 90707 |
|
102 |
101 |
$0.00 |
| 90648 |
|
272 |
267 |
$0.00 |
| 90670 |
|
91 |
85 |
$0.00 |