| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,838 |
5,320 |
$68K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,550 |
2,413 |
$40K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,098 |
1,045 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
697 |
661 |
$23K |
| 96127 |
|
1,182 |
1,087 |
$17K |
| 90686 |
|
1,227 |
1,078 |
$14K |
| 90670 |
|
666 |
627 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
156 |
140 |
$7K |
| 90734 |
|
466 |
448 |
$7K |
| 90651 |
|
197 |
186 |
$4K |
| 90723 |
|
402 |
383 |
$4K |
| 90648 |
|
416 |
385 |
$3K |
| 90715 |
|
199 |
191 |
$3K |
| 90710 |
|
81 |
72 |
$2K |
| 90620 |
|
84 |
77 |
$1K |
| 90633 |
|
162 |
150 |
$1K |
| 90677 |
|
60 |
55 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| 36416 |
|
154 |
113 |
$496.10 |
| 90696 |
|
33 |
31 |
$326.03 |
| 90685 |
|
33 |
30 |
$280.23 |
| H1000 |
Prenatal care, at-risk assessment |
12 |
12 |
$175.20 |
| 90681 |
|
13 |
13 |
$83.20 |