| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,196 |
1,170 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,230 |
1,194 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
957 |
925 |
$93K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,155 |
1,068 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,947 |
6,825 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,045 |
4,598 |
$72K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,462 |
2,560 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,591 |
2,182 |
$23K |
| 90461 |
|
1,905 |
1,611 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
96 |
94 |
$4K |
| CP002 |
|
310 |
271 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
230 |
222 |
$2K |
| 96160 |
|
1,153 |
1,083 |
$2K |
| 90686 |
|
335 |
320 |
$179.72 |
| 86328 |
|
16 |
16 |
$99.50 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$91.74 |
| 92551 |
|
88 |
77 |
$38.44 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
26 |
26 |
$32.26 |
| 90671 |
|
131 |
130 |
$0.10 |
| 90734 |
|
72 |
70 |
$0.01 |
| 90681 |
|
126 |
121 |
$0.00 |
| 99173 |
|
2,093 |
2,020 |
$0.00 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90670 |
|
717 |
691 |
$0.00 |
| 90648 |
|
180 |
177 |
$0.00 |
| 90633 |
|
177 |
173 |
$0.00 |
| 90710 |
|
96 |
93 |
$0.00 |
| 92552 |
|
20 |
20 |
$0.00 |
| 90700 |
|
13 |
12 |
$0.00 |
| 96127 |
|
143 |
119 |
$0.00 |
| 90697 |
|
106 |
101 |
$0.00 |
| 90723 |
|
60 |
57 |
$0.00 |
| 90651 |
|
27 |
27 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |
| 99443 |
|
18 |
12 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |