| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99460 |
|
1,748 |
1,728 |
$72K |
| 99462 |
|
2,276 |
1,561 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,091 |
1,071 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
637 |
626 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
425 |
417 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
397 |
395 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,016 |
3,651 |
$8K |
| 92551 |
|
911 |
892 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
764 |
754 |
$5K |
| 92552 |
|
416 |
414 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
424 |
267 |
$3K |
| 90670 |
|
524 |
520 |
$3K |
| 83655 |
|
211 |
210 |
$2K |
| 90698 |
|
338 |
334 |
$2K |
| 85018 |
|
1,025 |
1,021 |
$2K |
| 90633 |
|
312 |
310 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
233 |
230 |
$1K |
| 90680 |
|
249 |
246 |
$1K |
| 81000 |
|
582 |
579 |
$1K |
| 99173 |
|
447 |
432 |
$1K |
| 90656 |
|
268 |
267 |
$1K |
| 90744 |
|
133 |
131 |
$956.00 |
| 81003 |
|
312 |
309 |
$868.56 |
| G9920 |
Screening performed and negative |
153 |
153 |
$725.00 |
| 92081 |
|
715 |
712 |
$674.06 |
| 83026 |
|
232 |
231 |
$671.92 |
| 90707 |
|
104 |
102 |
$657.00 |
| 90734 |
|
184 |
180 |
$573.00 |
| 90651 |
|
173 |
171 |
$571.00 |
| 90716 |
|
85 |
85 |
$522.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$478.80 |
| 90655 |
|
55 |
55 |
$411.00 |
| 90710 |
|
118 |
118 |
$369.00 |
| 90715 |
|
56 |
56 |
$228.00 |
| 81002 |
|
88 |
88 |
$212.43 |
| 90700 |
|
24 |
24 |
$159.00 |
| 90621 |
|
31 |
31 |
$100.00 |
| 90696 |
|
14 |
14 |
$90.00 |
| 36415 |
Collection of venous blood by venipuncture |
145 |
145 |
$0.00 |