| Code | Description | Claims | Beneficiaries | Total Paid |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,141 |
4,020 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,025 |
4,228 |
$57K |
| 96127 |
|
1,672 |
1,640 |
$24K |
| 90734 |
|
1,424 |
1,183 |
$23K |
| H1000 |
Prenatal care, at-risk assessment |
1,169 |
1,158 |
$17K |
| 90715 |
|
769 |
624 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
802 |
784 |
$11K |
| 90686 |
|
935 |
831 |
$11K |
| 0011A |
|
611 |
547 |
$10K |
| 0012A |
|
358 |
335 |
$10K |
| 90651 |
|
390 |
296 |
$8K |
| 90633 |
|
451 |
372 |
$5K |
| 0002A |
|
109 |
104 |
$3K |
| 0001A |
|
164 |
156 |
$3K |
| 83655 |
|
238 |
227 |
$3K |
| 90710 |
|
157 |
114 |
$3K |
| 0064A |
|
53 |
52 |
$2K |
| 0031A |
|
62 |
62 |
$2K |
| 90670 |
|
139 |
129 |
$1K |
| 0071A |
|
30 |
26 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
23 |
$1K |
| 0072A |
|
19 |
14 |
$766.42 |
| 90716 |
|
30 |
29 |
$632.45 |
| 99402 |
|
23 |
14 |
$555.00 |
| 0034A |
|
12 |
12 |
$488.56 |
| 90707 |
|
14 |
14 |
$473.78 |
| 0124A |
|
17 |
12 |
$460.00 |
| 90685 |
|
63 |
61 |
$418.61 |
| 90620 |
|
13 |
12 |
$402.54 |
| 90661 |
|
20 |
20 |
$311.03 |
| 90656 |
|
13 |
13 |
$211.16 |
| 90696 |
|
18 |
17 |
$108.80 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
19 |
$73.80 |