| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,044 |
2,025 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,842 |
1,812 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,836 |
1,814 |
$138K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,074 |
4,333 |
$98K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,015 |
952 |
$72K |
| 92081 |
|
4,154 |
4,104 |
$38K |
| 90461 |
|
3,154 |
2,459 |
$16K |
| 92552 |
|
1,993 |
1,970 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,289 |
1,277 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
38 |
37 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
384 |
378 |
$2K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
163 |
151 |
$1K |
| 83655 |
|
432 |
428 |
$1.32 |
| 85018 |
|
115 |
113 |
$0.36 |
| 90651 |
|
920 |
907 |
$0.20 |
| 90658 |
|
845 |
840 |
$0.17 |
| 90734 |
|
633 |
624 |
$0.04 |
| 90715 |
|
297 |
293 |
$0.01 |
| 90670 |
|
1,203 |
1,189 |
$0.01 |
| 90680 |
|
513 |
508 |
$0.00 |
| 90723 |
|
56 |
56 |
$0.00 |
| 90698 |
|
282 |
282 |
$0.00 |
| 90657 |
|
105 |
104 |
$0.00 |
| 90716 |
|
182 |
179 |
$0.00 |
| 90647 |
|
241 |
239 |
$0.00 |
| 90696 |
|
196 |
195 |
$0.00 |
| 90744 |
|
115 |
115 |
$0.00 |
| 90697 |
|
227 |
224 |
$0.00 |
| 90710 |
|
303 |
302 |
$0.00 |
| 90633 |
|
792 |
785 |
$0.00 |
| 90707 |
|
187 |
184 |
$0.00 |
| 99173 |
|
321 |
313 |
$0.00 |
| 90700 |
|
142 |
141 |
$0.00 |