| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,317 |
1,943 |
$174K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,070 |
1,908 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,019 |
1,680 |
$137K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,266 |
2,079 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,034 |
963 |
$77K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
411 |
372 |
$34K |
| 90677 |
|
380 |
347 |
$26K |
| 90686 |
|
1,602 |
1,435 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,105 |
953 |
$18K |
| 96127 |
|
822 |
722 |
$16K |
| 90670 |
|
1,128 |
980 |
$14K |
| 90647 |
|
1,051 |
857 |
$13K |
| 90723 |
|
861 |
738 |
$11K |
| 90680 |
|
604 |
522 |
$8K |
| 90633 |
|
542 |
437 |
$7K |
| 90651 |
|
149 |
139 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
108 |
$4K |
| 90656 |
|
226 |
224 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
281 |
261 |
$3K |
| 87428 |
|
44 |
36 |
$3K |
| 90716 |
|
89 |
59 |
$2K |
| 90698 |
|
142 |
128 |
$2K |
| 90734 |
|
106 |
94 |
$1K |
| 90700 |
|
101 |
69 |
$986.63 |
| 90710 |
|
54 |
48 |
$696.14 |
| 90707 |
|
38 |
25 |
$634.98 |
| 90696 |
|
44 |
43 |
$549.66 |
| 90715 |
|
33 |
29 |
$429.47 |
| 91321 |
|
16 |
14 |
$267.36 |
| 83655 |
|
21 |
20 |
$249.06 |
| 85018 |
|
43 |
35 |
$99.76 |