| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,305 |
1,103 |
$96K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,171 |
991 |
$95K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,206 |
1,085 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
274 |
254 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
878 |
784 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
119 |
$12K |
| 90670 |
|
917 |
811 |
$11K |
| 96160 |
|
613 |
540 |
$9K |
| 90686 |
|
703 |
672 |
$8K |
| 90647 |
|
524 |
456 |
$6K |
| 90680 |
|
450 |
387 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
66 |
56 |
$5K |
| 90633 |
|
219 |
186 |
$2K |
| 96127 |
|
148 |
139 |
$2K |
| 90723 |
|
172 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
43 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
42 |
38 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 90651 |
|
16 |
16 |
$969.19 |
| 90734 |
|
16 |
16 |
$477.78 |