| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,348 |
1,334 |
$67K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,075 |
14,646 |
$66K |
| 99460 |
|
975 |
973 |
$62K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,085 |
3,079 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,176 |
3,172 |
$33K |
| 99462 |
|
1,076 |
757 |
$26K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,538 |
4,497 |
$25K |
| 92551 |
|
6,993 |
6,986 |
$22K |
| 99381 |
|
212 |
199 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,222 |
2,220 |
$17K |
| G9920 |
Screening performed and negative |
2,825 |
2,813 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,130 |
1,987 |
$12K |
| 90670 |
|
1,461 |
1,461 |
$10K |
| 90698 |
|
1,142 |
1,142 |
$8K |
| 90656 |
|
1,633 |
1,628 |
$6K |
| 85018 |
|
5,340 |
5,260 |
$6K |
| 90680 |
|
748 |
748 |
$5K |
| 92081 |
|
5,375 |
5,369 |
$5K |
| 90744 |
|
438 |
438 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
193 |
193 |
$3K |
| 81000 |
|
1,998 |
1,996 |
$2K |
| 90710 |
|
534 |
532 |
$2K |
| 90633 |
|
479 |
478 |
$2K |
| 81002 |
|
2,002 |
2,000 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
599 |
581 |
$975.60 |
| 90697 |
|
99 |
99 |
$969.24 |
| 90685 |
|
119 |
119 |
$894.00 |
| 90651 |
|
765 |
759 |
$763.00 |
| 90734 |
|
442 |
442 |
$625.00 |
| 90715 |
|
284 |
280 |
$495.50 |
| 90671 |
|
89 |
89 |
$495.03 |
| 83655 |
|
259 |
259 |
$476.05 |
| 90621 |
|
435 |
435 |
$332.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
116 |
114 |
$262.64 |
| 36415 |
Collection of venous blood by venipuncture |
1,623 |
1,587 |
$210.00 |
| 90696 |
|
85 |
85 |
$161.00 |
| 90700 |
|
25 |
25 |
$92.00 |
| 82465 |
|
62 |
62 |
$58.80 |
| 90648 |
|
13 |
13 |
$37.00 |
| 90619 |
|
143 |
143 |
$36.00 |
| 99401 |
|
13 |
13 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
13 |
13 |
$0.00 |
| 97802 |
|
13 |
13 |
$0.00 |