| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,420 |
1,058 |
$106K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,078 |
1,700 |
$96K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,163 |
1,012 |
$85K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,235 |
914 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,478 |
1,982 |
$67K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
310 |
288 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
789 |
688 |
$20K |
| 90670 |
|
742 |
568 |
$12K |
| 99173 |
|
979 |
813 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
367 |
322 |
$6K |
| 90686 |
|
610 |
543 |
$5K |
| 90685 |
|
479 |
346 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
43 |
40 |
$3K |
| 90723 |
|
379 |
269 |
$3K |
| 90647 |
|
396 |
282 |
$3K |
| 90680 |
|
310 |
214 |
$3K |
| 99460 |
|
40 |
38 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
27 |
26 |
$1K |
| 0071A |
|
32 |
32 |
$1K |
| 90633 |
|
113 |
79 |
$894.31 |
| 96127 |
|
60 |
55 |
$876.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,311 |
1,062 |
$174.00 |
| 90696 |
|
19 |
12 |
$121.60 |
| 90710 |
|
19 |
12 |
$121.60 |
| 90651 |
|
17 |
14 |
$108.80 |
| 97802 |
|
113 |
88 |
$0.00 |
| 96161 |
|
62 |
53 |
$0.00 |
| 90461 |
|
200 |
164 |
$0.00 |