| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
940 |
723 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
859 |
732 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
452 |
406 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
281 |
239 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
788 |
664 |
$15K |
| 90670 |
|
560 |
407 |
$11K |
| 90680 |
|
362 |
258 |
$5K |
| 90648 |
|
372 |
262 |
$4K |
| 87428 |
|
57 |
56 |
$3K |
| 90723 |
|
257 |
177 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
28 |
$2K |
| 90697 |
|
84 |
64 |
$2K |
| 99383 |
|
14 |
12 |
$1K |
| 87807 |
|
107 |
103 |
$1K |
| 90633 |
|
61 |
43 |
$994.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
43 |
37 |
$583.90 |
| 96127 |
|
13 |
12 |
$219.00 |
| 36416 |
|
22 |
18 |
$139.40 |
| 85018 |
|
25 |
19 |
$62.64 |