| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,295 |
2,236 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,202 |
1,172 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
689 |
671 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,421 |
3,174 |
$13K |
| G9920 |
Screening performed and negative |
1,494 |
1,473 |
$10K |
| 92551 |
|
1,542 |
1,514 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
217 |
209 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,019 |
1,893 |
$4K |
| 92552 |
|
683 |
676 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
397 |
256 |
$3K |
| 90658 |
|
918 |
894 |
$3K |
| 99173 |
|
1,739 |
1,719 |
$1K |
| 86580 |
|
645 |
625 |
$1K |
| 92081 |
|
393 |
380 |
$870.00 |
| 0071A |
|
16 |
16 |
$640.00 |
| 90480 |
|
15 |
15 |
$600.00 |
| 90651 |
|
119 |
116 |
$587.12 |
| 0072A |
|
13 |
13 |
$520.00 |
| 90734 |
|
98 |
97 |
$504.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
404 |
389 |
$383.80 |
| 90744 |
|
83 |
78 |
$295.35 |
| 99383 |
|
14 |
14 |
$196.04 |
| 90620 |
|
40 |
39 |
$189.82 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
763 |
380 |
$74.74 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
362 |
347 |
$66.12 |
| 90698 |
|
13 |
12 |
$63.00 |
| 90670 |
|
13 |
12 |
$63.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
86 |
84 |
$45.00 |
| 96160 |
|
690 |
671 |
$41.21 |
| 90633 |
|
13 |
13 |
$36.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$6.92 |
| 96127 |
|
339 |
335 |
$4.11 |
| 97803 |
|
78 |
69 |
$0.00 |