| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,918 |
4,897 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,773 |
3,763 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,544 |
3,482 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,622 |
17,021 |
$102K |
| G9920 |
Screening performed and negative |
6,977 |
6,905 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,380 |
1,351 |
$79K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,898 |
3,555 |
$56K |
| 92552 |
|
3,015 |
3,010 |
$35K |
| 92551 |
|
9,239 |
9,213 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,177 |
4,142 |
$26K |
| 96156 |
|
2,782 |
2,751 |
$23K |
| 99381 |
|
212 |
205 |
$18K |
| 90686 |
|
4,195 |
3,729 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
764 |
762 |
$14K |
| 0071A |
|
232 |
232 |
$9K |
| 0072A |
|
231 |
231 |
$9K |
| 90670 |
|
1,783 |
1,704 |
$8K |
| 99173 |
|
2,836 |
2,835 |
$8K |
| 90647 |
|
1,438 |
1,382 |
$7K |
| 90651 |
|
2,446 |
2,102 |
$6K |
| 90723 |
|
1,123 |
1,083 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
512 |
$6K |
| 90680 |
|
1,091 |
1,050 |
$6K |
| 0001A |
|
150 |
137 |
$5K |
| 0002A |
|
118 |
118 |
$5K |
| 90707 |
|
1,069 |
978 |
$4K |
| 0004A |
|
73 |
73 |
$3K |
| 90716 |
|
1,086 |
998 |
$3K |
| 90734 |
|
1,290 |
1,136 |
$3K |
| 90620 |
|
1,630 |
1,391 |
$2K |
| 90674 |
|
509 |
453 |
$2K |
| 90633 |
|
854 |
805 |
$2K |
| 90697 |
|
100 |
90 |
$1K |
| 92081 |
|
7,055 |
7,045 |
$1K |
| 90700 |
|
372 |
365 |
$1K |
| 99460 |
|
21 |
21 |
$977.66 |
| 99462 |
|
45 |
20 |
$926.56 |
| 90688 |
|
265 |
262 |
$822.45 |
| 90715 |
|
807 |
708 |
$793.00 |
| 90685 |
|
38 |
25 |
$753.13 |
| 90696 |
|
304 |
274 |
$650.00 |
| 90671 |
|
113 |
105 |
$468.00 |
| 90713 |
|
89 |
89 |
$452.00 |
| 90619 |
|
395 |
350 |
$365.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
30 |
29 |
$360.00 |
| 3078F |
|
5,898 |
5,882 |
$292.17 |
| 3074F |
|
5,959 |
5,944 |
$272.83 |
| 96127 |
|
1,351 |
1,342 |
$168.55 |
| 99188 |
|
25 |
25 |
$161.10 |
| 90656 |
|
212 |
211 |
$144.34 |
| 90461 |
|
135 |
119 |
$17.70 |
| 83655 |
|
13 |
13 |
$0.00 |