| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,083 |
879 |
$11K |
| 96127 |
|
804 |
719 |
$9K |
| 92551 |
|
746 |
746 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,754 |
1,602 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
138 |
137 |
$2K |
| 83655 |
|
136 |
136 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
311 |
294 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
456 |
456 |
$831.50 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
433 |
433 |
$497.16 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
535 |
533 |
$388.55 |
| 99188 |
|
12 |
12 |
$312.00 |
| 85018 |
|
131 |
131 |
$273.79 |
| 99173 |
|
750 |
750 |
$244.42 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
618 |
618 |
$224.95 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
258 |
258 |
$186.96 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
225 |
225 |
$90.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
49 |
48 |
$42.98 |
| 90474 |
|
13 |
13 |
$9.84 |
| 90461 |
|
118 |
118 |
$0.00 |