| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
388 |
380 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
361 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
324 |
319 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
449 |
426 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
70 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
26 |
26 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$665.79 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21 |
12 |
$441.72 |
| 99188 |
|
14 |
14 |
$277.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$264.60 |
| 90648 |
|
84 |
77 |
$138.00 |
| 92551 |
|
180 |
176 |
$16.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
661 |
523 |
$13.98 |
| 96127 |
|
138 |
132 |
$2.36 |
| 96160 |
|
152 |
145 |
$0.00 |
| 99173 |
|
140 |
137 |
$0.00 |
| 90661 |
|
47 |
47 |
$0.00 |
| 90670 |
|
50 |
50 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 96161 |
|
68 |
67 |
$0.00 |
| 90686 |
|
80 |
74 |
$0.00 |
| 90677 |
|
19 |
12 |
$0.00 |