| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
507 |
486 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
414 |
388 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
392 |
369 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
656 |
574 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
165 |
159 |
$11K |
| 99188 |
|
560 |
522 |
$10K |
| 92552 |
|
561 |
536 |
$9K |
| 90686 |
|
772 |
766 |
$5K |
| S9470 |
Nutritional counseling, dietitian visit |
260 |
254 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
374 |
344 |
$2K |
| 90670 |
|
189 |
189 |
$2K |
| 90648 |
|
177 |
177 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
904 |
816 |
$1K |
| 83655 |
|
298 |
286 |
$1K |
| 90700 |
|
140 |
140 |
$1K |
| 96127 |
|
442 |
415 |
$1K |
| 90734 |
|
135 |
135 |
$974.00 |
| 90651 |
|
138 |
137 |
$952.00 |
| 90707 |
|
134 |
132 |
$865.00 |
| 90716 |
|
134 |
131 |
$845.00 |
| 99173 |
|
549 |
528 |
$771.00 |
| 90633 |
|
104 |
103 |
$757.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
31 |
$630.24 |
| 90680 |
|
58 |
58 |
$516.00 |
| 99499 |
|
13 |
13 |
$487.00 |
| 90713 |
|
46 |
46 |
$388.00 |
| 90620 |
|
53 |
52 |
$295.00 |
| 90715 |
|
25 |
24 |
$154.00 |
| 90723 |
|
14 |
14 |
$126.32 |
| 90744 |
|
12 |
12 |
$108.00 |
| 90696 |
|
12 |
12 |
$62.00 |
| 81025 |
|
154 |
141 |
$4.00 |
| 36415 |
Collection of venous blood by venipuncture |
748 |
706 |
$2.50 |
| 90461 |
|
308 |
274 |
$0.00 |
| G9920 |
Screening performed and negative |
446 |
424 |
$0.00 |
| 81002 |
|
895 |
858 |
$0.00 |