| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
743 |
673 |
$41K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
676 |
622 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
688 |
587 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
987 |
852 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,666 |
1,531 |
$31K |
| 96160 |
|
1,939 |
1,778 |
$18K |
| 96161 |
|
680 |
634 |
$7K |
| 99383 |
|
122 |
105 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
91 |
87 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
158 |
151 |
$4K |
| 99382 |
|
80 |
64 |
$4K |
| 99173 |
|
939 |
838 |
$4K |
| 92551 |
|
629 |
547 |
$3K |
| 99381 |
|
69 |
53 |
$3K |
| 96127 |
|
855 |
807 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
223 |
187 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
138 |
126 |
$2K |
| 99177 |
|
307 |
289 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
55 |
$2K |
| 99401 |
|
58 |
43 |
$672.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
50 |
21 |
$606.68 |
| 90461 |
|
19 |
14 |
$35.72 |
| 85018 |
|
13 |
12 |
$23.27 |