| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,329 |
2,765 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,901 |
2,265 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,259 |
2,007 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,816 |
2,494 |
$134K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,234 |
1,102 |
$92K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,354 |
2,922 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
450 |
377 |
$36K |
| 90670 |
|
2,053 |
1,654 |
$31K |
| 90677 |
|
443 |
389 |
$28K |
| 90686 |
|
1,867 |
1,627 |
$21K |
| 96127 |
|
1,223 |
1,025 |
$20K |
| 83655 |
|
1,663 |
1,352 |
$20K |
| 90647 |
|
1,549 |
1,248 |
$19K |
| 90723 |
|
1,487 |
1,174 |
$18K |
| 90633 |
|
1,587 |
1,280 |
$18K |
| 90680 |
|
1,170 |
924 |
$15K |
| 90710 |
|
882 |
742 |
$11K |
| 90651 |
|
240 |
203 |
$10K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
288 |
273 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
264 |
241 |
$8K |
| 85018 |
|
1,933 |
1,589 |
$4K |
| 92551 |
|
272 |
252 |
$4K |
| 90656 |
|
183 |
181 |
$3K |
| 90734 |
|
158 |
114 |
$3K |
| 90698 |
|
411 |
356 |
$3K |
| 99173 |
|
376 |
330 |
$3K |
| 90700 |
|
184 |
147 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
170 |
161 |
$2K |
| 87807 |
|
143 |
124 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
75 |
$1K |
| 36416 |
|
322 |
243 |
$1K |
| 90744 |
|
163 |
149 |
$1K |
| 99381 |
|
13 |
12 |
$1K |
| 90696 |
|
77 |
55 |
$929.58 |
| 96160 |
|
58 |
37 |
$836.11 |
| 90715 |
|
58 |
39 |
$791.51 |
| 90681 |
|
106 |
96 |
$665.60 |
| 92587 |
|
47 |
23 |
$616.63 |
| 91321 |
|
27 |
24 |
$451.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
13 |
$379.10 |
| 90685 |
|
18 |
12 |
$200.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
46 |
41 |
$0.00 |
| 90461 |
|
15 |
12 |
$0.00 |