| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
20 |
20 |
$204.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,614 |
3,365 |
$145.92 |
| G9920 |
Screening performed and negative |
1,364 |
1,363 |
$145.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
411 |
410 |
$113.46 |
| 92552 |
|
832 |
831 |
$63.65 |
| 90686 |
|
704 |
704 |
$9.00 |
| 92060 |
|
840 |
839 |
$3.79 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
144 |
$0.00 |
| 90713 |
|
40 |
40 |
$0.00 |
| 90648 |
|
38 |
38 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
489 |
488 |
$0.00 |
| 90685 |
|
127 |
127 |
$0.00 |
| 90700 |
|
114 |
114 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20 |
20 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 92081 |
|
20 |
20 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$0.00 |
| 90656 |
|
15 |
15 |
$0.00 |