| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
211 |
207 |
$22K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
264 |
254 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
93 |
89 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
73 |
$7K |
| 90461 |
|
157 |
137 |
$3K |
| 90670 |
|
13 |
13 |
$2K |
| 99188 |
|
92 |
87 |
$2K |
| 97802 |
|
12 |
12 |
$434.16 |
| 92551 |
|
156 |
131 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$0.00 |
| 99173 |
|
156 |
130 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |