| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
834 |
682 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,396 |
1,120 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
771 |
669 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
342 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
123 |
$10K |
| 90686 |
|
565 |
501 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
305 |
227 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
326 |
242 |
$5K |
| 90648 |
|
438 |
388 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
49 |
46 |
$4K |
| 90670 |
|
375 |
338 |
$4K |
| 90677 |
|
49 |
41 |
$1K |
| 90723 |
|
95 |
90 |
$983.48 |
| 90734 |
|
35 |
30 |
$964.94 |
| 83655 |
|
31 |
25 |
$355.80 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
12 |
$353.30 |
| 90680 |
|
26 |
26 |
$301.21 |
| 90633 |
|
43 |
31 |
$275.20 |
| 90656 |
|
15 |
15 |
$270.30 |
| 90715 |
|
12 |
12 |
$90.40 |