| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,978 |
1,877 |
$142K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,808 |
1,714 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
770 |
729 |
$51K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
612 |
543 |
$37K |
| 92551 |
|
4,268 |
3,983 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,890 |
1,729 |
$25K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
900 |
832 |
$14K |
| 99173 |
|
4,432 |
4,149 |
$8K |
| 81002 |
|
2,192 |
1,987 |
$5K |
| 85018 |
|
2,366 |
2,051 |
$5K |
| 99383 |
|
42 |
42 |
$3K |
| 99050 |
|
245 |
230 |
$3K |
| 92550 |
|
118 |
112 |
$2K |
| 90473 |
|
201 |
187 |
$2K |
| 81025 |
|
213 |
189 |
$1K |
| T1001 |
Nursing assessment / evaluation |
15 |
15 |
$104.79 |
| 3008F |
|
5,102 |
4,524 |
$0.00 |
| 90620 |
|
377 |
333 |
$0.00 |
| 90651 |
|
381 |
342 |
$0.00 |
| 90686 |
|
555 |
499 |
$0.00 |
| 3511F |
|
817 |
679 |
$0.00 |
| 90633 |
|
133 |
120 |
$0.00 |
| 90734 |
|
330 |
292 |
$0.00 |
| 90672 |
|
255 |
237 |
$0.00 |
| 90715 |
|
74 |
64 |
$0.00 |
| 90649 |
|
16 |
13 |
$0.00 |