| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
819 |
817 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,329 |
1,278 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
824 |
799 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
424 |
419 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
393 |
385 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,193 |
1,167 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
138 |
$13K |
| 99188 |
|
496 |
496 |
$10K |
| 92551 |
|
1,017 |
995 |
$3K |
| 90686 |
|
593 |
522 |
$3K |
| 99173 |
|
1,108 |
1,087 |
$2K |
| 90648 |
|
386 |
358 |
$1K |
| 90670 |
|
355 |
328 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
803 |
763 |
$997.63 |
| 96161 |
|
225 |
223 |
$658.76 |
| 90723 |
|
177 |
173 |
$632.00 |
| 90680 |
|
103 |
100 |
$429.00 |
| 90633 |
|
80 |
71 |
$409.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
40 |
$260.14 |
| 96127 |
|
161 |
157 |
$31.90 |
| 83655 |
|
25 |
25 |
$22.00 |
| 96160 |
|
207 |
203 |
$11.49 |
| 90672 |
|
29 |
29 |
$0.00 |