| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,367 |
2,096 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,533 |
2,178 |
$173K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,695 |
1,552 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
646 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
640 |
553 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,131 |
1,034 |
$28K |
| 90670 |
|
1,467 |
1,315 |
$16K |
| 90647 |
|
1,220 |
1,073 |
$12K |
| 90723 |
|
1,107 |
1,005 |
$11K |
| 90633 |
|
765 |
661 |
$8K |
| 99173 |
|
1,075 |
938 |
$8K |
| 90686 |
|
698 |
626 |
$7K |
| 90677 |
|
135 |
114 |
$5K |
| 90681 |
|
427 |
383 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
215 |
194 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
18 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
39 |
38 |
$2K |
| 99382 |
|
15 |
15 |
$1K |
| 90656 |
|
83 |
77 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90685 |
|
143 |
142 |
$980.63 |
| 90707 |
|
70 |
67 |
$808.46 |
| 90710 |
|
43 |
37 |
$718.53 |
| 90734 |
|
37 |
15 |
$576.77 |
| 90716 |
|
51 |
50 |
$534.35 |
| 90696 |
|
31 |
26 |
$518.01 |
| 90715 |
|
32 |
13 |
$497.37 |
| 70360 |
|
44 |
26 |
$356.56 |
| 90700 |
|
43 |
37 |
$352.72 |
| G0009 |
Administration of pneumococcal vaccine |
18 |
18 |
$83.20 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
42 |
42 |
$40.75 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
36 |
36 |
$16.18 |