| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,387 |
3,322 |
$129K |
| 99381 |
|
899 |
899 |
$101K |
| G9920 |
Screening performed and negative |
4,026 |
3,976 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,595 |
1,540 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,055 |
2,040 |
$72K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,610 |
1,405 |
$64K |
| 92552 |
|
5,073 |
5,041 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
948 |
936 |
$40K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,120 |
3,048 |
$33K |
| 0071A |
|
443 |
442 |
$18K |
| 90648 |
|
2,241 |
2,209 |
$17K |
| 90670 |
|
2,189 |
2,138 |
$17K |
| 96167 |
|
336 |
336 |
$17K |
| 0072A |
|
397 |
397 |
$16K |
| 90723 |
|
1,727 |
1,694 |
$14K |
| 90658 |
|
2,508 |
2,488 |
$13K |
| 99460 |
|
259 |
259 |
$13K |
| 0124A |
|
314 |
314 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
106 |
106 |
$12K |
| 0154A |
|
272 |
271 |
$11K |
| 90697 |
|
153 |
153 |
$9K |
| 90655 |
|
1,217 |
1,203 |
$8K |
| 0001A |
|
187 |
187 |
$7K |
| 0003A |
|
183 |
183 |
$7K |
| 0002A |
|
172 |
172 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
556 |
554 |
$7K |
| 90680 |
|
875 |
847 |
$7K |
| 99462 |
|
235 |
189 |
$6K |
| 99173 |
|
3,700 |
3,689 |
$6K |
| 90633 |
|
806 |
777 |
$5K |
| 0111A |
|
116 |
116 |
$5K |
| 90681 |
|
512 |
512 |
$5K |
| 0164A |
|
108 |
108 |
$4K |
| 90716 |
|
585 |
563 |
$4K |
| 0112A |
|
88 |
88 |
$4K |
| 90707 |
|
558 |
533 |
$3K |
| 0073A |
|
81 |
81 |
$3K |
| 91321 |
|
135 |
135 |
$3K |
| 90700 |
|
587 |
564 |
$3K |
| 99383 |
|
37 |
37 |
$2K |
| 99000 |
|
554 |
553 |
$2K |
| 91322 |
|
64 |
64 |
$2K |
| 90649 |
|
299 |
280 |
$2K |
| 85018 |
|
969 |
954 |
$1K |
| 90734 |
|
197 |
188 |
$1K |
| 90671 |
|
222 |
222 |
$1K |
| 0134A |
|
23 |
23 |
$920.00 |
| 90480 |
|
41 |
41 |
$820.00 |
| 81002 |
|
547 |
547 |
$476.79 |
| 90713 |
|
94 |
88 |
$387.00 |
| 90620 |
|
97 |
95 |
$369.00 |
| 90715 |
|
52 |
51 |
$351.62 |
| 90677 |
|
39 |
39 |
$351.00 |
| 83026 |
|
107 |
107 |
$275.40 |
| 90380 |
|
26 |
26 |
$234.00 |
| 90381 |
|
12 |
12 |
$108.00 |
| 81000 |
|
26 |
26 |
$40.86 |
| 90461 |
|
58 |
58 |
$0.00 |
| 99401 |
|
250 |
250 |
$0.00 |
| 97802 |
|
249 |
249 |
$0.00 |
| 92060 |
|
278 |
264 |
$0.00 |
| 99172 |
|
144 |
144 |
$0.00 |
| 92551 |
|
144 |
144 |
$0.00 |
| 90657 |
|
47 |
47 |
$0.00 |
| D0120 |
Periodic oral evaluation - established patient |
250 |
250 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
149 |
141 |
$0.00 |