| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,387 |
1,216 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,105 |
1,029 |
$73K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,431 |
1,145 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,075 |
1,017 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
599 |
554 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,274 |
1,152 |
$26K |
| 90677 |
|
310 |
272 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
283 |
240 |
$17K |
| 90670 |
|
834 |
666 |
$14K |
| 90723 |
|
884 |
695 |
$13K |
| 90647 |
|
842 |
690 |
$12K |
| 90680 |
|
664 |
517 |
$10K |
| 90686 |
|
631 |
568 |
$9K |
| 83655 |
|
794 |
715 |
$9K |
| 90633 |
|
579 |
507 |
$9K |
| 96127 |
|
379 |
337 |
$6K |
| 90651 |
|
181 |
142 |
$5K |
| 87428 |
|
62 |
57 |
$4K |
| 96160 |
|
252 |
232 |
$4K |
| 90656 |
|
150 |
144 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
61 |
$2K |
| 99215 |
Prolong outpt/office vis |
35 |
30 |
$2K |
| 85018 |
|
858 |
774 |
$2K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
12 |
12 |
$2K |
| 90734 |
|
103 |
86 |
$2K |
| 90707 |
|
92 |
85 |
$2K |
| 90716 |
|
79 |
73 |
$1K |
| 90700 |
|
52 |
50 |
$871.44 |
| 90620 |
|
25 |
14 |
$384.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$375.60 |
| 91321 |
|
16 |
14 |
$267.36 |
| 90381 |
|
15 |
13 |
$252.33 |
| 90715 |
|
12 |
12 |
$202.20 |
| 90710 |
|
12 |
12 |
$201.36 |