| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
724 |
669 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
920 |
888 |
$68K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
515 |
513 |
$59K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,370 |
1,357 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
33 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
796 |
654 |
$2K |
| 99177 |
|
430 |
429 |
$1K |
| 99188 |
|
509 |
508 |
$1K |
| 90686 |
|
354 |
353 |
$759.88 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
695 |
690 |
$695.34 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
78 |
76 |
$624.40 |
| 90670 |
|
470 |
466 |
$420.73 |
| 36416 |
|
82 |
80 |
$357.38 |
| 90685 |
|
130 |
130 |
$334.58 |
| 90698 |
|
430 |
428 |
$320.51 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$239.10 |
| 90680 |
|
170 |
169 |
$72.60 |
| 90744 |
|
42 |
42 |
$72.60 |
| 96161 |
|
510 |
457 |
$2.27 |
| 99051 |
|
29 |
29 |
$0.00 |
| 83655 |
|
12 |
12 |
$0.00 |
| 90474 |
|
157 |
156 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$0.00 |