| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
298 |
286 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
366 |
332 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
421 |
383 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,147 |
405 |
$8K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
83 |
75 |
$5K |
| S8301 |
Infection control supplies, not otherwise specified |
1,313 |
1,100 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
287 |
199 |
$2K |
| 90461 |
|
231 |
189 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
21 |
$1K |
| 99000 |
|
34 |
32 |
$321.59 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$319.02 |
| 96160 |
|
225 |
219 |
$35.99 |
| 90686 |
|
137 |
127 |
$18.46 |
| 99174 |
|
14 |
14 |
$7.00 |
| 90670 |
|
43 |
41 |
$0.00 |