| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
393 |
393 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
528 |
528 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
276 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
968 |
789 |
$14K |
| 90461 |
|
271 |
270 |
$13K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
358 |
356 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
118 |
118 |
$6K |
| 92587 |
|
153 |
151 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
168 |
167 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
39 |
$2K |
| 99442 |
|
31 |
31 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
22 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$1K |
| 92551 |
|
78 |
78 |
$1K |
| 81000 |
|
138 |
136 |
$463.36 |
| 90670 |
|
16 |
16 |
$249.90 |
| 90686 |
|
110 |
110 |
$232.05 |
| 1031F |
|
884 |
880 |
$25.00 |
| 97802 |
|
298 |
296 |
$0.00 |
| 90697 |
|
86 |
86 |
$0.00 |
| 90674 |
|
42 |
42 |
$0.00 |
| 90677 |
|
37 |
37 |
$0.00 |
| 96127 |
|
22 |
22 |
$0.00 |
| 99080 |
|
1,424 |
297 |
$0.00 |
| 99177 |
|
80 |
80 |
$0.00 |
| 90671 |
|
49 |
49 |
$0.00 |
| 99173 |
|
90 |
88 |
$0.00 |
| 90681 |
|
26 |
26 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |