| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,125 |
1,053 |
$70K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
801 |
779 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
992 |
921 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
743 |
678 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
119 |
117 |
$7K |
| 96161 |
|
322 |
313 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
30 |
$2K |
| 99072 |
|
2,141 |
1,956 |
$10.00 |
| 94760 |
|
28 |
26 |
$1.79 |
| 90648 |
|
213 |
210 |
$0.00 |
| 90713 |
|
190 |
187 |
$0.00 |
| 90670 |
|
291 |
288 |
$0.00 |
| 90700 |
|
321 |
318 |
$0.00 |
| G9920 |
Screening performed and negative |
1,716 |
1,635 |
$0.00 |
| 90680 |
|
136 |
133 |
$0.00 |
| 3008F |
|
52 |
51 |
$0.00 |
| 90744 |
|
40 |
38 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |