| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,028 |
2,944 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,859 |
2,744 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,161 |
2,059 |
$69K |
| 92081 |
|
2,757 |
2,611 |
$48K |
| 90651 |
|
1,973 |
1,876 |
$45K |
| 90619 |
|
557 |
556 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
905 |
894 |
$43K |
| 90620 |
|
1,736 |
1,647 |
$42K |
| 90658 |
|
2,435 |
2,041 |
$38K |
| 92552 |
|
2,170 |
2,098 |
$29K |
| 90698 |
|
363 |
343 |
$29K |
| 90734 |
|
1,243 |
1,160 |
$26K |
| 90686 |
|
2,784 |
2,752 |
$25K |
| 90671 |
|
98 |
98 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
658 |
615 |
$19K |
| G9920 |
Screening performed and negative |
5,759 |
5,652 |
$12K |
| 83655 |
|
1,261 |
1,206 |
$11K |
| 90670 |
|
872 |
799 |
$9K |
| 90710 |
|
595 |
552 |
$9K |
| 90655 |
|
427 |
340 |
$9K |
| 90633 |
|
741 |
684 |
$6K |
| 85018 |
|
2,966 |
2,851 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
40 |
$5K |
| 90696 |
|
87 |
78 |
$4K |
| 90715 |
|
415 |
387 |
$4K |
| 99384 |
|
47 |
47 |
$3K |
| 90681 |
|
276 |
266 |
$2K |
| 99383 |
|
44 |
43 |
$2K |
| 90672 |
|
47 |
47 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,365 |
8,085 |
$916.36 |
| 90744 |
|
59 |
55 |
$519.82 |
| 99188 |
|
390 |
373 |
$277.90 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,323 |
1,603 |
$274.52 |
| 86580 |
|
31 |
30 |
$103.60 |
| 90700 |
|
17 |
12 |
$99.20 |
| 90648 |
|
17 |
12 |
$99.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
849 |
813 |
$53.97 |
| 96127 |
|
104 |
103 |
$10.60 |
| 3078F |
|
1,338 |
1,334 |
$0.00 |
| 91300 |
|
120 |
116 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
286 |
249 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
102 |
101 |
$0.00 |
| 81002 |
|
102 |
73 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |
| 0002A |
|
37 |
37 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,955 |
2,458 |
$0.00 |
| 3074F |
|
1,117 |
1,113 |
$0.00 |
| 0001A |
|
44 |
44 |
$0.00 |
| 91307 |
|
49 |
49 |
$0.00 |
| 90480 |
|
25 |
25 |
$0.00 |
| 0072A |
|
17 |
17 |
$0.00 |