| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
31 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
111 |
55 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
37 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
14 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
614 |
351 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
282 |
72 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
195 |
63 |
$791.20 |
| 90461 |
|
77 |
34 |
$293.04 |
| 96160 |
|
111 |
66 |
$62.92 |
| 96127 |
|
24 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
85 |
43 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
31 |
31 |
$0.00 |