| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,358 |
2,702 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,372 |
1,974 |
$129K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,588 |
3,559 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
636 |
509 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
557 |
468 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
596 |
488 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
313 |
232 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
536 |
410 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
180 |
132 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
151 |
119 |
$8K |
| 3078F |
|
1,519 |
1,239 |
$8K |
| 3074F |
|
1,553 |
1,266 |
$8K |
| 3008F |
|
472 |
393 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
78 |
77 |
$2K |
| 90834 |
Psychotherapy, 45 minutes with patient |
18 |
14 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 85018 |
|
437 |
361 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
458 |
351 |
$669.60 |
| 92552 |
|
26 |
26 |
$648.75 |
| 99174 |
|
160 |
105 |
$532.40 |
| 92551 |
|
35 |
29 |
$282.80 |
| 82465 |
|
13 |
13 |
$58.56 |
| 99173 |
|
12 |
12 |
$30.00 |
| 90686 |
|
1,425 |
1,176 |
$17.13 |
| 4037F |
|
1,536 |
1,277 |
$0.00 |
| 90723 |
|
110 |
106 |
$0.00 |
| 90688 |
|
91 |
77 |
$0.00 |
| 90647 |
|
111 |
93 |
$0.00 |
| 90651 |
|
55 |
38 |
$0.00 |
| 36416 |
|
148 |
125 |
$0.00 |
| 92558 |
|
12 |
12 |
$0.00 |
| 90680 |
|
41 |
41 |
$0.00 |
| 90716 |
|
19 |
13 |
$0.00 |
| 90461 |
|
812 |
691 |
$0.00 |
| 90670 |
|
257 |
227 |
$0.00 |
| 90633 |
|
19 |
12 |
$0.00 |
| 90707 |
|
19 |
13 |
$0.00 |
| 90687 |
|
15 |
13 |
$0.00 |