| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,801 |
3,955 |
$328K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,756 |
2,996 |
$288K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,454 |
4,952 |
$263K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,931 |
4,181 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,018 |
962 |
$80K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
942 |
892 |
$70K |
| 90670 |
|
3,395 |
2,652 |
$61K |
| 90677 |
|
644 |
591 |
$38K |
| 96127 |
|
2,451 |
2,249 |
$38K |
| 90723 |
|
2,537 |
1,999 |
$30K |
| 90647 |
|
2,499 |
1,943 |
$29K |
| 90680 |
|
2,308 |
1,820 |
$27K |
| 90686 |
|
2,073 |
1,790 |
$22K |
| 83655 |
|
1,765 |
1,391 |
$21K |
| 90633 |
|
1,715 |
1,375 |
$18K |
| 90698 |
|
908 |
702 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
107 |
101 |
$8K |
| 99381 |
|
98 |
94 |
$8K |
| 90716 |
|
416 |
322 |
$7K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
47 |
43 |
$7K |
| D1206 |
Topical application of fluoride varnish |
220 |
179 |
$6K |
| 90707 |
|
392 |
305 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
440 |
402 |
$5K |
| 96160 |
|
328 |
299 |
$5K |
| 90700 |
|
379 |
289 |
$4K |
| 85018 |
|
1,757 |
1,405 |
$4K |
| 90656 |
|
197 |
196 |
$3K |
| 90744 |
|
373 |
318 |
$3K |
| 90651 |
|
86 |
76 |
$3K |
| 90681 |
|
202 |
170 |
$2K |
| 90710 |
|
105 |
104 |
$1K |
| 90734 |
|
78 |
70 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
50 |
49 |
$1K |
| 90696 |
|
76 |
76 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
27 |
26 |
$953.91 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
96 |
83 |
$551.04 |
| 91321 |
|
29 |
28 |
$467.88 |
| 90380 |
|
20 |
20 |
$317.49 |
| 36415 |
Collection of venous blood by venipuncture |
57 |
52 |
$225.50 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
31 |
26 |
$0.00 |
| 90461 |
|
12 |
12 |
$0.00 |