| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
884 |
806 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
766 |
725 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
215 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,907 |
957 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,435 |
1,296 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
76 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
237 |
231 |
$1K |
| 90474 |
|
176 |
153 |
$729.13 |
| 90648 |
|
459 |
420 |
$0.00 |
| 90710 |
|
181 |
155 |
$0.00 |
| 90670 |
|
716 |
648 |
$0.00 |
| 90633 |
|
224 |
202 |
$0.00 |
| 90687 |
|
29 |
29 |
$0.00 |
| 90681 |
|
96 |
84 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 90688 |
|
32 |
32 |
$0.00 |
| 90723 |
|
281 |
258 |
$0.00 |
| 90698 |
|
30 |
27 |
$0.00 |
| 96127 |
|
23 |
22 |
$0.00 |
| 90686 |
|
115 |
113 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |