| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
598 |
595 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
558 |
545 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,382 |
4,770 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
404 |
400 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,510 |
1,090 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
292 |
292 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,379 |
1,013 |
$13K |
| CP002 |
|
164 |
144 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
441 |
426 |
$1K |
| 99381 |
|
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
390 |
192 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
150 |
131 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$778.82 |
| 86328 |
|
47 |
47 |
$444.84 |
| 87807 |
|
66 |
65 |
$332.20 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
22 |
$302.30 |
| 92551 |
|
246 |
244 |
$137.35 |
| 83655 |
|
28 |
27 |
$131.88 |
| 92587 |
|
226 |
221 |
$127.68 |
| 90686 |
|
69 |
69 |
$68.52 |
| 81002 |
|
17 |
14 |
$8.18 |
| 83026 |
|
14 |
13 |
$3.03 |
| 90671 |
|
212 |
211 |
$0.05 |
| 90633 |
|
153 |
152 |
$0.00 |
| 90461 |
|
854 |
729 |
$0.00 |
| 90670 |
|
231 |
225 |
$0.00 |
| 90681 |
|
196 |
192 |
$0.00 |
| 99173 |
|
502 |
495 |
$0.00 |
| 90648 |
|
14 |
14 |
$0.00 |
| 96160 |
|
34 |
33 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90710 |
|
133 |
131 |
$0.00 |
| 90734 |
|
47 |
47 |
$0.00 |
| 90715 |
|
28 |
28 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90697 |
|
276 |
272 |
$0.00 |
| 96127 |
|
427 |
278 |
$0.00 |
| 90680 |
|
60 |
59 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |