| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,144 |
1,855 |
$362K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,679 |
1,579 |
$292K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
755 |
719 |
$135K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
492 |
447 |
$81K |
| T1015 |
Clinic visit/encounter, all-inclusive |
27 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,220 |
2,060 |
$474.63 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,477 |
1,166 |
$43.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,492 |
1,422 |
$21.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,880 |
1,627 |
$7.45 |
| 90461 |
|
2,339 |
1,153 |
$3.72 |
| 90723 |
|
765 |
701 |
$0.00 |
| 90634 |
|
451 |
412 |
$0.00 |
| 90686 |
|
440 |
403 |
$0.00 |
| 90698 |
|
138 |
122 |
$0.00 |
| 90651 |
|
162 |
148 |
$0.00 |
| 90474 |
|
41 |
40 |
$0.00 |
| 90677 |
|
309 |
306 |
$0.00 |
| 90696 |
|
17 |
14 |
$0.00 |
| 96127 |
|
14 |
14 |
$0.00 |
| 90710 |
|
416 |
374 |
$0.00 |
| 90473 |
|
281 |
255 |
$0.00 |
| 90648 |
|
1,177 |
1,071 |
$0.00 |
| 90681 |
|
629 |
568 |
$0.00 |
| 90670 |
|
1,289 |
1,164 |
$0.00 |
| 90715 |
|
74 |
68 |
$0.00 |
| 90734 |
|
136 |
128 |
$0.00 |
| 90700 |
|
27 |
27 |
$0.00 |