| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
873 |
873 |
$56K |
| 90686 |
|
3,200 |
3,190 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,726 |
3,432 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,369 |
4,077 |
$14K |
| 96127 |
|
2,683 |
2,658 |
$13K |
| 90620 |
|
1,252 |
1,250 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,224 |
3,224 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,784 |
1,781 |
$8K |
| 97803 |
|
270 |
270 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
203 |
194 |
$7K |
| 90734 |
|
733 |
733 |
$7K |
| 0072A |
|
153 |
153 |
$6K |
| 90651 |
|
582 |
582 |
$5K |
| 0071A |
|
138 |
138 |
$5K |
| 92551 |
|
6,254 |
6,231 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,620 |
1,582 |
$4K |
| 0004A |
|
79 |
79 |
$3K |
| 0001A |
|
64 |
64 |
$3K |
| 90672 |
|
207 |
207 |
$2K |
| 0054A |
|
40 |
40 |
$2K |
| 0124A |
|
37 |
37 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
45 |
$1K |
| 90674 |
|
96 |
96 |
$864.00 |
| 90619 |
|
67 |
67 |
$585.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
151 |
151 |
$543.72 |
| 90670 |
|
42 |
38 |
$378.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
88 |
86 |
$298.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$122.63 |
| 90715 |
|
12 |
12 |
$108.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
76 |
$34.88 |
| 85018 |
|
14 |
13 |
$0.00 |