| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,979 |
2,974 |
$84K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,836 |
3,825 |
$84K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,144 |
2,137 |
$63K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,715 |
7,155 |
$54K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
192 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
91 |
91 |
$2K |
| 92551 |
|
8,314 |
8,271 |
$579.74 |
| 90686 |
|
461 |
460 |
$517.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,707 |
2,625 |
$450.03 |
| 0073A |
|
27 |
27 |
$450.00 |
| 97802 |
|
4,040 |
4,015 |
$260.00 |
| 0003A |
|
121 |
121 |
$150.00 |
| G9920 |
Screening performed and negative |
1,009 |
973 |
$150.00 |
| 90461 |
|
1,833 |
1,416 |
$22.06 |
| 81000 |
|
1,326 |
1,317 |
$14.20 |
| 87430 |
|
546 |
536 |
$0.00 |
| 96127 |
|
847 |
847 |
$0.00 |
| 86580 |
|
12 |
12 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,628 |
2,627 |
$0.00 |
| 91307 |
|
105 |
93 |
$0.00 |
| 0072A |
|
188 |
183 |
$0.00 |
| 0001A |
|
115 |
112 |
$0.00 |
| 99383 |
|
16 |
16 |
$0.00 |
| 99173 |
|
7,249 |
7,213 |
$0.00 |
| 91300 |
|
31 |
26 |
$0.00 |
| 97803 |
|
92 |
92 |
$0.00 |
| 0002A |
|
105 |
104 |
$0.00 |
| 0071A |
|
195 |
195 |
$0.00 |