| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
900 |
882 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
342 |
313 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
914 |
842 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
77 |
77 |
$651.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
44 |
$173.36 |
| 90686 |
|
252 |
250 |
$20.61 |
| 90688 |
|
105 |
104 |
$0.02 |
| 97802 |
|
151 |
151 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
13 |
13 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
154 |
154 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
138 |
138 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
80 |
80 |
$0.00 |
| 99408 |
|
39 |
39 |
$0.00 |