| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,603 |
3,309 |
$132K |
| 92552 |
|
2,098 |
1,979 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
592 |
534 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
391 |
382 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
290 |
274 |
$11K |
| G9920 |
Screening performed and negative |
1,938 |
1,887 |
$5K |
| 90672 |
|
145 |
144 |
$3K |
| 90686 |
|
441 |
410 |
$2K |
| 90700 |
|
339 |
287 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
44 |
$2K |
| 83655 |
|
171 |
169 |
$1K |
| 90670 |
|
94 |
81 |
$654.72 |
| 90713 |
|
82 |
63 |
$525.76 |
| 90651 |
|
95 |
79 |
$486.08 |
| 90648 |
|
58 |
52 |
$416.64 |
| 90688 |
|
41 |
41 |
$396.80 |
| 90674 |
|
73 |
67 |
$396.80 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,479 |
2,206 |
$260.08 |
| 90734 |
|
23 |
17 |
$253.74 |
| 90661 |
|
23 |
23 |
$187.56 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,546 |
1,435 |
$107.40 |
| 90680 |
|
15 |
12 |
$89.28 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
61 |
61 |
$0.39 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
842 |
842 |
$0.00 |
| 96150 |
|
28 |
14 |
$0.00 |
| G9604 |
Patient survey results not available |
21 |
21 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
133 |
47 |
$0.00 |
| 99173 |
|
425 |
360 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
183 |
172 |
$0.00 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
27 |
$0.00 |