| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
59 |
57 |
$658.80 |
| G9920 |
Screening performed and negative |
115 |
112 |
$495.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$326.70 |
| 92552 |
|
68 |
66 |
$317.77 |
| 92551 |
|
17 |
17 |
$111.10 |
| 85018 |
|
27 |
27 |
$49.20 |
| 99173 |
|
54 |
52 |
$34.08 |
| 90658 |
|
31 |
29 |
$0.00 |
| 92081 |
|
12 |
12 |
$0.00 |
| 97802 |
|
37 |
37 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
45 |
$0.00 |
| 96127 |
|
91 |
90 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
37 |
37 |
$0.00 |
| 99441 |
|
30 |
29 |
$0.00 |