| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G9920 |
Screening performed and negative |
5,107 |
5,104 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,374 |
2,369 |
$39K |
| 92552 |
|
4,820 |
4,818 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,116 |
1,116 |
$21K |
| 90658 |
|
2,991 |
2,989 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,445 |
1,445 |
$11K |
| 92060 |
|
1,843 |
1,843 |
$1K |
| 90655 |
|
452 |
450 |
$999.00 |
| 90651 |
|
234 |
234 |
$810.00 |
| 90700 |
|
240 |
237 |
$564.00 |
| 90619 |
|
127 |
127 |
$522.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
94 |
94 |
$446.42 |
| 90713 |
|
81 |
81 |
$279.00 |
| 90677 |
|
39 |
39 |
$270.00 |
| 90648 |
|
130 |
130 |
$238.00 |
| 90716 |
|
114 |
113 |
$225.00 |
| 90707 |
|
100 |
99 |
$216.00 |
| 91321 |
|
80 |
80 |
$171.00 |
| 90697 |
|
62 |
62 |
$144.00 |
| 90670 |
|
94 |
94 |
$135.00 |
| 90633 |
|
102 |
101 |
$126.00 |
| 90620 |
|
37 |
37 |
$108.00 |
| 90649 |
|
12 |
12 |
$108.00 |
| 85018 |
|
114 |
114 |
$104.43 |
| 90715 |
|
32 |
32 |
$99.00 |
| 90671 |
|
150 |
149 |
$99.00 |
| 90723 |
|
25 |
25 |
$45.00 |
| 91322 |
|
12 |
12 |
$27.00 |
| 99173 |
|
1,390 |
1,389 |
$4.56 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$0.00 |