| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,538 |
3,430 |
$276K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,136 |
2,977 |
$232K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,837 |
2,726 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,985 |
10,008 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,294 |
2,201 |
$172K |
| 90461 |
|
5,320 |
4,352 |
$53K |
| 99429 |
|
1,566 |
1,499 |
$50K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,142 |
3,055 |
$30K |
| 99381 |
|
307 |
299 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
298 |
271 |
$7K |
| 96160 |
|
2,619 |
2,471 |
$6K |
| 92551 |
|
8,455 |
8,140 |
$5K |
| 0071A |
|
27 |
27 |
$1K |
| 0072A |
|
22 |
22 |
$880.00 |
| 86580 |
|
15 |
14 |
$90.44 |
| 99173 |
|
8,410 |
8,067 |
$57.12 |
| 90686 |
|
4,614 |
4,410 |
$54.34 |
| 90651 |
|
1,109 |
1,046 |
$0.02 |
| 90670 |
|
2,152 |
2,059 |
$0.01 |
| 90681 |
|
706 |
682 |
$0.00 |
| 90648 |
|
2,123 |
2,030 |
$0.00 |
| 90734 |
|
679 |
662 |
$0.00 |
| 90633 |
|
769 |
731 |
$0.00 |
| 90707 |
|
694 |
630 |
$0.00 |
| 90672 |
|
82 |
82 |
$0.00 |
| 90715 |
|
143 |
136 |
$0.00 |
| 90700 |
|
103 |
84 |
$0.00 |
| 90723 |
|
1,551 |
1,488 |
$0.00 |
| 90696 |
|
144 |
117 |
$0.00 |
| 90620 |
|
260 |
228 |
$0.00 |
| 90716 |
|
722 |
656 |
$0.00 |
| 91307 |
|
80 |
80 |
$0.00 |