| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
904 |
897 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
880 |
878 |
$69K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
754 |
752 |
$61K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,121 |
3,012 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
571 |
543 |
$42K |
| 99429 |
|
507 |
506 |
$17K |
| 90461 |
|
1,675 |
1,380 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,595 |
1,298 |
$13K |
| 96160 |
|
714 |
711 |
$2K |
| 92551 |
|
2,741 |
2,729 |
$2K |
| 99381 |
|
12 |
12 |
$975.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$338.32 |
| 99173 |
|
2,718 |
2,698 |
$24.48 |
| 90686 |
|
1,124 |
1,116 |
$0.01 |
| 90716 |
|
174 |
173 |
$0.00 |
| 90723 |
|
280 |
279 |
$0.00 |
| 90651 |
|
139 |
137 |
$0.00 |
| 90620 |
|
52 |
52 |
$0.00 |
| 90670 |
|
541 |
535 |
$0.00 |
| 90633 |
|
122 |
121 |
$0.00 |
| 90648 |
|
487 |
483 |
$0.00 |
| 90715 |
|
15 |
15 |
$0.00 |
| 90734 |
|
115 |
115 |
$0.00 |
| 90707 |
|
198 |
196 |
$0.00 |
| 90681 |
|
29 |
28 |
$0.00 |
| 90672 |
|
20 |
20 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |