| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,160 |
1,157 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,199 |
1,135 |
$49K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
813 |
764 |
$45K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
592 |
592 |
$39K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,683 |
1,668 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
355 |
333 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
205 |
205 |
$14K |
| 81002 |
|
1,498 |
1,491 |
$2K |
| 99381 |
|
14 |
14 |
$941.57 |
| 83655 |
|
56 |
56 |
$717.63 |
| 99173 |
|
693 |
693 |
$452.69 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
25 |
$314.20 |
| 96127 |
|
88 |
88 |
$259.21 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$157.14 |
| 85018 |
|
72 |
72 |
$101.76 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$48.31 |
| 99177 |
|
27 |
27 |
$34.75 |
| 94760 |
|
30 |
29 |
$1.40 |
| 99080 |
|
540 |
533 |
$0.00 |
| 99499 |
|
165 |
163 |
$0.00 |
| 99072 |
|
23 |
22 |
$0.00 |
| 90670 |
|
24 |
24 |
$0.00 |
| 36416 |
|
89 |
88 |
$0.00 |
| 99000 |
|
25 |
25 |
$0.00 |
| 90686 |
|
12 |
12 |
$0.00 |