| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,111 |
948 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,077 |
1,012 |
$81K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,542 |
1,360 |
$71K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
872 |
726 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
501 |
442 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
232 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
844 |
747 |
$16K |
| 96127 |
|
460 |
412 |
$7K |
| 90686 |
|
598 |
542 |
$7K |
| 90677 |
|
91 |
81 |
$6K |
| 90670 |
|
316 |
254 |
$5K |
| 99215 |
Prolong outpt/office vis |
47 |
41 |
$3K |
| 90656 |
|
118 |
116 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
73 |
$2K |
| 90651 |
|
16 |
12 |
$2K |
| 90647 |
|
148 |
123 |
$1K |
| 90723 |
|
107 |
84 |
$1K |
| 90734 |
|
63 |
54 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
73 |
66 |
$1K |
| 90680 |
|
108 |
78 |
$1K |
| 90698 |
|
73 |
59 |
$544.14 |
| 90633 |
|
61 |
51 |
$390.40 |
| 90696 |
|
19 |
13 |
$261.79 |
| 85018 |
|
101 |
82 |
$229.68 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
15 |
$193.20 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$187.80 |
| 90744 |
|
16 |
15 |
$96.00 |