| Code | Description | Claims | Beneficiaries | Total Paid |
| 96156 |
|
3,964 |
3,946 |
$333K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,019 |
2,979 |
$142K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,929 |
2,769 |
$140K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,184 |
3,095 |
$138K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,087 |
2,071 |
$117K |
| G9920 |
Screening performed and negative |
3,930 |
3,915 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,616 |
2,413 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
999 |
993 |
$56K |
| 92552 |
|
3,868 |
3,843 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,151 |
1,050 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
843 |
772 |
$16K |
| 90670 |
|
1,605 |
1,580 |
$15K |
| 96151 |
|
461 |
461 |
$10K |
| 90648 |
|
1,024 |
1,004 |
$9K |
| 90700 |
|
1,016 |
996 |
$9K |
| 90686 |
|
1,058 |
1,054 |
$8K |
| 90680 |
|
813 |
792 |
$7K |
| 90658 |
|
773 |
773 |
$7K |
| 90633 |
|
767 |
764 |
$7K |
| 85018 |
|
3,340 |
3,311 |
$6K |
| 96150 |
|
270 |
270 |
$6K |
| 90744 |
|
574 |
565 |
$5K |
| 96127 |
|
1,520 |
1,517 |
$5K |
| 90649 |
|
558 |
557 |
$5K |
| 81002 |
|
2,543 |
2,520 |
$5K |
| 90713 |
|
500 |
483 |
$4K |
| 90734 |
|
533 |
533 |
$4K |
| 92551 |
|
392 |
389 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
115 |
115 |
$2K |
| 90696 |
|
163 |
163 |
$1K |
| 90716 |
|
151 |
151 |
$1K |
| 90715 |
|
150 |
149 |
$1K |
| 90655 |
|
145 |
145 |
$1K |
| 90707 |
|
141 |
140 |
$1K |
| 90710 |
|
155 |
155 |
$1K |
| 85999 |
|
398 |
398 |
$1K |
| 90660 |
|
78 |
78 |
$702.00 |
| 99173 |
|
256 |
254 |
$615.06 |
| 99381 |
|
12 |
12 |
$392.70 |
| 81000 |
|
146 |
146 |
$223.86 |
| 90698 |
|
14 |
12 |
$126.00 |
| 86580 |
|
47 |
47 |
$7.91 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12 |
12 |
$0.00 |
| 81001 |
|
45 |
45 |
$0.00 |