| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92552 |
|
4,510 |
4,486 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,276 |
1,272 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,360 |
1,357 |
$31K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,156 |
2,164 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
946 |
941 |
$15K |
| 96156 |
|
275 |
274 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,255 |
5,190 |
$6K |
| 90686 |
|
1,485 |
1,483 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,920 |
10,558 |
$5K |
| 99173 |
|
2,356 |
2,343 |
$2K |
| 3008F |
|
2,544 |
2,537 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
137 |
$2K |
| 97802 |
|
4,224 |
4,211 |
$804.94 |
| 90656 |
|
174 |
171 |
$720.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
14 |
$419.30 |
| 90648 |
|
247 |
245 |
$375.00 |
| 90651 |
|
342 |
340 |
$263.00 |
| 90670 |
|
237 |
237 |
$229.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,354 |
2,337 |
$214.10 |
| 90688 |
|
212 |
212 |
$162.00 |
| 86580 |
|
48 |
46 |
$147.81 |
| 90734 |
|
172 |
172 |
$145.00 |
| 90716 |
|
89 |
88 |
$100.00 |
| 99383 |
|
27 |
27 |
$93.58 |
| 90620 |
|
144 |
144 |
$63.00 |
| 90696 |
|
19 |
19 |
$54.00 |
| 90707 |
|
64 |
64 |
$54.00 |
| 90461 |
|
50 |
50 |
$48.48 |
| 90715 |
|
27 |
27 |
$45.00 |
| 90633 |
|
46 |
46 |
$36.00 |
| 90723 |
|
12 |
12 |
$9.00 |
| 96127 |
|
246 |
243 |
$0.00 |
| 1036F |
|
107 |
107 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
34 |
34 |
$0.00 |
| 99384 |
|
30 |
30 |
$0.00 |
| 92081 |
|
260 |
257 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
88 |
$0.00 |