| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,218 |
1,098 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,107 |
$89K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,197 |
1,013 |
$82K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
407 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
272 |
246 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
207 |
175 |
$16K |
| 99215 |
Prolong outpt/office vis |
137 |
129 |
$9K |
| 90670 |
|
646 |
548 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
442 |
394 |
$8K |
| 90686 |
|
534 |
469 |
$6K |
| 90723 |
|
449 |
381 |
$6K |
| 90647 |
|
423 |
368 |
$6K |
| 90677 |
|
90 |
84 |
$4K |
| 90680 |
|
242 |
214 |
$3K |
| 90633 |
|
214 |
179 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
25 |
22 |
$1K |
| 90734 |
|
104 |
87 |
$1K |
| 90681 |
|
51 |
43 |
$852.21 |
| 90651 |
|
51 |
42 |
$511.98 |
| 83655 |
|
39 |
33 |
$450.68 |
| 85018 |
|
155 |
133 |
$375.84 |
| 90715 |
|
14 |
14 |
$233.94 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$0.00 |