| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,261 |
2,119 |
$148K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,651 |
3,232 |
$143K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,159 |
1,079 |
$71K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,017 |
972 |
$71K |
| 92551 |
|
2,127 |
2,018 |
$15K |
| 99173 |
|
2,249 |
2,126 |
$10K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
192 |
170 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
226 |
195 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
91 |
85 |
$3K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
321 |
287 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$2K |
| 99382 |
|
32 |
29 |
$2K |
| 99381 |
|
12 |
12 |
$847.52 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
40 |
$738.91 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
82 |
81 |
$725.87 |
| 83655 |
|
76 |
75 |
$627.12 |
| 96161 |
|
51 |
51 |
$568.97 |
| 85018 |
|
229 |
198 |
$366.89 |
| 36416 |
|
374 |
327 |
$347.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$285.95 |
| 3008F |
|
14 |
13 |
$110.00 |
| 36415 |
Collection of venous blood by venipuncture |
42 |
39 |
$71.39 |
| 96127 |
|
13 |
12 |
$52.48 |
| 90461 |
|
16 |
14 |
$0.00 |