| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
702 |
685 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
898 |
857 |
$60K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
543 |
501 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
537 |
514 |
$49K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
383 |
377 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
197 |
196 |
$23K |
| 90686 |
|
1,001 |
894 |
$16K |
| 90670 |
|
356 |
347 |
$8K |
| 90723 |
|
223 |
217 |
$4K |
| 90647 |
|
251 |
243 |
$4K |
| 96160 |
|
282 |
271 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
44 |
36 |
$2K |
| 90680 |
|
118 |
116 |
$2K |
| 90633 |
|
90 |
88 |
$1K |
| 90651 |
|
31 |
31 |
$1K |
| 83655 |
|
56 |
56 |
$745.68 |
| 0001A |
|
12 |
12 |
$514.92 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
48 |
48 |
$414.24 |
| 36415 |
Collection of venous blood by venipuncture |
152 |
145 |
$0.00 |