| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
3,337 |
3,176 |
$297K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,449 |
3,432 |
$204K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,373 |
4,037 |
$137K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,432 |
1,430 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,189 |
1,181 |
$53K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
405 |
405 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,230 |
1,143 |
$22K |
| 92551 |
|
1,529 |
1,529 |
$20K |
| 99381 |
|
247 |
245 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
201 |
201 |
$13K |
| 90670 |
|
964 |
961 |
$9K |
| 90698 |
|
572 |
569 |
$5K |
| 96151 |
|
341 |
340 |
$5K |
| 90685 |
|
516 |
515 |
$5K |
| 90680 |
|
521 |
520 |
$5K |
| 90686 |
|
356 |
356 |
$3K |
| 90744 |
|
258 |
258 |
$2K |
| 97802 |
|
813 |
813 |
$2K |
| 90633 |
|
176 |
176 |
$2K |
| 99383 |
|
14 |
14 |
$990.22 |
| 90707 |
|
109 |
109 |
$972.00 |
| 99382 |
|
13 |
13 |
$790.40 |
| 90716 |
|
74 |
74 |
$769.00 |
| G9920 |
Screening performed and negative |
488 |
488 |
$696.00 |
| 90734 |
|
26 |
26 |
$234.00 |
| 85018 |
|
91 |
91 |
$182.97 |
| 96150 |
|
123 |
83 |
$181.12 |
| 90700 |
|
16 |
16 |
$144.00 |
| 87430 |
|
45 |
45 |
$128.83 |
| 90647 |
|
14 |
14 |
$126.00 |
| 94760 |
|
250 |
240 |
$36.35 |
| 99401 |
|
72 |
72 |
$16.83 |
| 96127 |
|
43 |
43 |
$4.81 |
| 99173 |
|
544 |
544 |
$4.60 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
117 |
117 |
$1.00 |
| 96160 |
|
474 |
474 |
$0.00 |
| 0071A |
|
18 |
18 |
$0.00 |
| 99050 |
|
1,649 |
1,609 |
$0.00 |
| 99172 |
|
247 |
247 |
$0.00 |
| 91307 |
|
21 |
21 |
$0.00 |
| 99000 |
|
13 |
13 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |