| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
828 |
809 |
$78K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,773 |
1,754 |
$71K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
691 |
681 |
$68K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
405 |
402 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
754 |
747 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
443 |
420 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
126 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
134 |
130 |
$14K |
| 99460 |
|
91 |
86 |
$8K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
61 |
57 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
304 |
291 |
$3K |
| 99188 |
|
142 |
141 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
59 |
$1K |
| 85018 |
|
194 |
190 |
$601.41 |
| 36416 |
|
229 |
214 |
$71.22 |
| 36415 |
Collection of venous blood by venipuncture |
186 |
185 |
$47.40 |
| 90670 |
|
601 |
601 |
$0.00 |
| 90681 |
|
206 |
206 |
$0.00 |
| 90633 |
|
171 |
167 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90710 |
|
22 |
22 |
$0.00 |
| 90698 |
|
602 |
601 |
$0.00 |
| 90744 |
|
182 |
182 |
$0.00 |
| 90686 |
|
392 |
392 |
$0.00 |
| 90696 |
|
34 |
34 |
$0.00 |