| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
297 |
275 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
427 |
346 |
$27K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
246 |
222 |
$24K |
| 92552 |
|
587 |
557 |
$12K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
25 |
25 |
$3K |
| 92551 |
|
276 |
247 |
$2K |
| 99173 |
|
956 |
854 |
$2K |
| 96127 |
|
251 |
233 |
$1K |
| 90658 |
|
31 |
29 |
$630.48 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$513.28 |
| 90734 |
|
23 |
19 |
$395.76 |
| 96160 |
|
187 |
173 |
$393.34 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
43 |
43 |
$363.26 |
| 90715 |
|
13 |
12 |
$256.08 |
| 90651 |
|
14 |
14 |
$256.08 |