| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,771 |
1,521 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,162 |
915 |
$79K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
982 |
866 |
$77K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,050 |
955 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,464 |
2,095 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
483 |
$41K |
| 90670 |
|
980 |
737 |
$20K |
| 90677 |
|
178 |
145 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
108 |
101 |
$9K |
| 96127 |
|
382 |
304 |
$6K |
| 90647 |
|
404 |
307 |
$5K |
| 90723 |
|
410 |
284 |
$4K |
| 90633 |
|
297 |
242 |
$4K |
| 90686 |
|
296 |
277 |
$3K |
| 90698 |
|
269 |
227 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
109 |
103 |
$2K |
| 99384 |
|
14 |
12 |
$1K |
| 90656 |
|
74 |
72 |
$1K |
| 90680 |
|
114 |
82 |
$1K |
| 83655 |
|
76 |
54 |
$901.36 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
65 |
$805.51 |
| 92551 |
|
41 |
33 |
$610.66 |
| 90744 |
|
66 |
52 |
$396.80 |
| 99173 |
|
45 |
45 |
$335.25 |
| 85018 |
|
96 |
70 |
$232.90 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$203.45 |
| 90651 |
|
12 |
12 |
$200.52 |
| 90648 |
|
30 |
12 |
$185.60 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
16 |
$61.50 |