| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96156 |
|
1,589 |
1,493 |
$138K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,596 |
1,587 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,102 |
2,021 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
890 |
859 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
468 |
467 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
330 |
324 |
$15K |
| 92551 |
|
819 |
817 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
140 |
140 |
$8K |
| 99381 |
|
66 |
64 |
$4K |
| 90670 |
|
332 |
327 |
$3K |
| 99460 |
|
24 |
24 |
$3K |
| 90698 |
|
284 |
279 |
$3K |
| 96151 |
|
133 |
132 |
$2K |
| 90686 |
|
236 |
236 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
32 |
32 |
$2K |
| 97802 |
|
469 |
466 |
$2K |
| 90685 |
|
168 |
167 |
$2K |
| 90680 |
|
136 |
132 |
$1K |
| 99383 |
|
12 |
12 |
$848.76 |
| 90744 |
|
46 |
45 |
$405.00 |
| G9920 |
Screening performed and negative |
234 |
233 |
$261.00 |
| 90707 |
|
28 |
27 |
$252.00 |
| 90716 |
|
27 |
27 |
$234.00 |
| 90700 |
|
13 |
13 |
$117.00 |
| 87430 |
|
57 |
56 |
$90.00 |
| 96150 |
|
39 |
26 |
$74.00 |
| 94760 |
|
119 |
118 |
$47.53 |
| 85018 |
|
12 |
12 |
$22.68 |
| 96127 |
|
12 |
12 |
$12.03 |
| 99050 |
|
1,557 |
1,524 |
$0.00 |
| 99172 |
|
42 |
42 |
$0.00 |
| 96161 |
|
14 |
14 |
$0.00 |
| 96160 |
|
278 |
277 |
$0.00 |
| 99173 |
|
254 |
254 |
$0.00 |
| H1003 |
Prenatal care, at-risk enhanced service; education |
26 |
26 |
$0.00 |