
Explore state-by-state reports examining rates from major insurance companies, along with the state-specific video reviewing the report to guide you towards a better understanding of your state's rates.
Complimentary Reports To Support Independent Pediatric Practices Across The USExplore the posted state reports and their accompanying videos. All reports cover 2026-Q3 and are free to access without registration.
| State | Data Period | Access |
|---|---|---|
| Texas | 2026-Q3 | View Report & Walkthrough Video |
The state report provides a starting point. A custom practice report focuses on your practice’s payer rates and how they compare with others in your market.
Learn more about a practice-specific comparison to help you:
Your practice-specific report will provide details on 92 CPT codes for Place of Service 11, focusing exclusively on general pediatrics.
| CPT Code | CPT Description |
|---|---|
| Ancillary | |
| 99188 | App topical fluoride varnish |
| Behavioral | |
| 96110 | Developmental screen w/score |
| 96127 | Brief emotional/behav assmt |
| Counseling | |
| 90837 | Psytx w pt 60 minutes |
| 90847 | Family psytx w/pt 50 min |
| 90849 | Multiple family group psytx |
| 90853 | Group psychotherapy |
| Hospital | |
| 99238 | Hosp ip/obs dschrg mgmt 30/< |
| 99460 | Init nb em per day hosp |
| 99461 | Init nb em per day non-fac |
| 99463 | Same day nb discharge |
| Laboratory | |
| 87428 | Sarscov & inf vir a&b ag ia |
| 87502 | Influenza dna amp probe |
| 87631 | Resp virus 3-5 targets |
| 87633 | Resp virus 12-25 targets |
| 87634 | Rsv dna/rna amp probe |
| 87636 | Sarscov2 & inf a&b amp prb |
| 87637 | Sarscov2&inf a&b&rsv amp prb |
| 87651 | Strep a dna amp probe |
| 87804 | Influenza assay w/optic |
| 87807 | Rsv assay w/optic |
| 87880 | Strep a assay w/optic |
| Screening | |
| 99174 | Ocular instrumnt screen bil |
| 99177 | Ocular instrumnt screen bil |
| Screens | |
| 96160 | Pt-focused hlth risk assmt |
| 96161 | Caregiver health risk assmt |
| Telehealth | |
| 98000 | Synch audio-video new sf 15 |
| 98001 | Synch audio-video new low 30 |
| 98002 | Synch audio-video new mod 45 |
| 98003 | Synch audio-video new hi 60 |
| 98004 | Synch audio-video est sf 10 |
| 98005 | Synch audio-video est low 20 |
| 98006 | Synch audio-video est mod 30 |
| 98007 | Synch audio-video est hi 40 |
| 98008 | Synch audio-only new sf 15 |
| 98009 | Synch audio-only new low 30 |
| 98013 | Synch audio-only est low 20 |
| 98014 | Synch audio-only est mod 30 |
| Testing | |
| 99173 | Visual acuity screen |
| Unassigned | |
| 98010 | Synch audio-only new mod 45 |
| 98011 | Synch audio-only new high 60 |
| 98012 | Synch audio-only est sf 10 |
| 98015 | Synch audio-only est high 40 |
| 98016 | Brief comunicaj tech-bsd svc |
| 99078 | Group health education |
| 99418 | Prolng ip/obs e/m ea 15 min |
| 99484 | Care mgmt svc bhvl hlth cond |
| Vaccine, Admin | |
| 90460 | Im admin 1st/only component |
| 90461 | Im admin each addl component |
| 90471 | Immunization admin |
| 90472 | Immunization admin each add |
| Vaccine, Drug | |
| 90380 | Rsv monoc antb seasn .5ml im |
| 90619 | Menacwy-tt vaccine im |
| 90620 | Menb-4c vaccine im |
| 90621 | Menb-fhbp vacc 2/3 dose im |
| 90623 | Menacwy-tt menb-fhbp vacc im |
| 90633 | Hepa vacc ped/adol 2 dose im |
| 90648 | Hib prp-t vaccine 4 dose im |
| 90651 | 9vhpv vaccine 2/3 dose im |
| 90671 | Pcv15 vaccine im |
| 90677 | Pcv20 vaccine im |
| 90680 | Rv5 vacc 3 dose live oral |
| 90681 | Rv1 vacc 2 dose live oral |
| 90696 | Dtap-ipv vaccine 4-6 yrs im |
| 90697 | Dtap-ipv-hib-hepb vaccine im |
| 90698 | Dtap-ipv/hib vaccine im |
| 90700 | Dtap vaccine < 7 yrs im |
| 90707 | Mmr vaccine sc |
| 90710 | Mmrv vaccine sc |
| 90713 | Poliovirus ipv sc/im |
| 90715 | Tdap vaccine 7 yrs/> im |
| 90716 | Var vaccine live subq |
| 90723 | Dtap-hep b-ipv vaccine im |
| 90744 | Hepb vacc 3 dose ped/adol im |
| Visit, Est | |
| 99212 | Office o/p est sf 10 min |
| 99213 | Office o/p est low 20 min |
| 99214 | Office o/p est mod 30 min |
| 99215 | Office o/p est hi 40 min |
| Visit, New | |
| 99202 | Office o/p new sf 15 min |
| 99203 | Office o/p new low 30 min |
| 99204 | Office o/p new mod 45 min |
| 99205 | Office o/p new hi 60 min |
| Visit, Prev, Est | |
| 99391 | Per pm reeval est pat infant |
| 99392 | Prev visit est age 1-4 |
| 99393 | Prev visit est age 5-11 |
| 99394 | Prev visit est age 12-17 |
| 99395 | Prev visit est age 18-39 |
| Visit, Prev, New | |
| 99381 | Init pm e/m new pat infant |
| 99382 | Init pm e/m new pat 1-4 yrs |
| 99383 | Prev visit new age 5-11 |
| 99384 | Prev visit new age 12-17 |
| 99385 | Prev visit new age 18-39 |
CPT® codes and descriptors are copyright American Medical Association. All rights reserved.
Watch the custom report video in a new tab →
Comparable data, market coverage, and interpretation matter. Leverage the information now available from PMI to better understand how your practice stacks up in your market.
Review a sample practice-specific report before you order.
Custom practice report: $850
Order Your Custom Report TodayTo prepare your custom report, we need an export of your practice’s billing activity for the past 12 months. The report should summarize the total number of units billed for each CPT code, broken down by payer.
Your export should include:
If you’re not sure how to run this report, see the PDF export instructions for the common billing systems listed below.
| Your system | PDF export instructions |
|---|---|
| Athena | Coming Soon |
| eClinicalWorks | Coming Soon |
| Office Practicum | Coming Soon |
| PCC | Coming Soon |
Don’t see your system or need help? Contact PMI to confirm the appropriate export process before preparing your file.
Protect practice and patient information: Never send patient-identifiable information by email. Confirm the necessary data and secure delivery process with PMI first.
Order your practice-specific report for $850.
You’ll receive an order receipt by email, along with a link to securely upload your billing data.
Within 3 business days, you’ll receive your practice-specific report along with a video walking you through the report.