| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99385 |
|
412 |
342 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,761 |
1,720 |
$28K |
| 99382 |
|
550 |
543 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
555 |
549 |
$21K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,718 |
1,556 |
$20K |
| 99381 |
|
451 |
447 |
$17K |
| 0011A |
|
385 |
358 |
$15K |
| 96127 |
|
1,032 |
999 |
$14K |
| 0012A |
|
308 |
275 |
$12K |
| H1000 |
Prenatal care, at-risk assessment |
659 |
633 |
$9K |
| 90734 |
|
405 |
380 |
$6K |
| 0001A |
|
140 |
128 |
$6K |
| 0002A |
|
138 |
116 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
103 |
88 |
$5K |
| 85018 |
|
1,540 |
1,414 |
$4K |
| 90715 |
|
185 |
172 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
75 |
72 |
$3K |
| 90686 |
|
266 |
235 |
$2K |
| 90651 |
|
63 |
60 |
$2K |
| 90716 |
|
34 |
31 |
$697.43 |
| 90707 |
|
35 |
32 |
$654.05 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
43 |
38 |
$627.80 |
| 90700 |
|
29 |
26 |
$484.59 |
| 90670 |
|
27 |
27 |
$451.17 |
| 90633 |
|
17 |
17 |
$339.03 |
| 90713 |
|
18 |
15 |
$300.78 |
| 90698 |
|
12 |
12 |
$200.52 |
| 91301 |
|
530 |
530 |
$0.00 |
| 91300 |
|
190 |
188 |
$0.00 |