| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,832 |
1,456 |
$113K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,613 |
1,331 |
$112K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,182 |
1,980 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
686 |
618 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,832 |
1,570 |
$34K |
| 96127 |
|
1,796 |
1,636 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
425 |
404 |
$29K |
| 90677 |
|
351 |
297 |
$18K |
| 90670 |
|
888 |
666 |
$17K |
| 99215 |
Prolong outpt/office vis |
231 |
217 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
233 |
195 |
$15K |
| 90686 |
|
932 |
840 |
$10K |
| 90723 |
|
729 |
550 |
$9K |
| 90647 |
|
676 |
515 |
$9K |
| 90680 |
|
632 |
472 |
$8K |
| 90633 |
|
331 |
281 |
$4K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
15 |
15 |
$2K |
| 90656 |
|
120 |
118 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
110 |
103 |
$2K |
| 83655 |
|
125 |
104 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
39 |
38 |
$1K |
| 90651 |
|
90 |
52 |
$992.58 |
| 85018 |
|
210 |
169 |
$491.85 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
12 |
$406.90 |
| 90698 |
|
47 |
41 |
$300.80 |
| 90716 |
|
15 |
12 |
$251.49 |
| 90700 |
|
18 |
12 |
$115.20 |
| 90744 |
|
13 |
13 |
$83.20 |