| Code | Description | Claims | Beneficiaries | Total Paid |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,779 |
2,171 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,444 |
2,125 |
$169K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,282 |
1,975 |
$167K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,313 |
2,943 |
$157K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,302 |
1,169 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
400 |
370 |
$33K |
| 90648 |
|
2,232 |
1,886 |
$22K |
| 90670 |
|
1,973 |
1,702 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
985 |
612 |
$20K |
| 90723 |
|
1,635 |
1,411 |
$17K |
| 90686 |
|
1,561 |
1,352 |
$15K |
| 90633 |
|
1,139 |
865 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
429 |
398 |
$11K |
| 90680 |
|
1,107 |
976 |
$11K |
| 83655 |
|
670 |
501 |
$8K |
| 90677 |
|
233 |
199 |
$4K |
| 90734 |
|
283 |
244 |
$3K |
| 90791 |
Psychiatric diagnostic evaluation |
21 |
20 |
$3K |
| 0001A |
|
51 |
50 |
$2K |
| 90715 |
|
162 |
135 |
$2K |
| 85018 |
|
719 |
535 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
106 |
91 |
$2K |
| 90656 |
|
90 |
90 |
$2K |
| 90651 |
|
144 |
117 |
$1K |
| 0071A |
|
35 |
34 |
$1K |
| 90710 |
|
97 |
86 |
$1K |
| 90716 |
|
78 |
62 |
$667.97 |
| 0002A |
|
15 |
15 |
$632.10 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
15 |
13 |
$508.79 |
| 90696 |
|
68 |
57 |
$482.58 |
| 90681 |
|
27 |
17 |
$451.17 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$383.24 |
| 90700 |
|
36 |
28 |
$354.12 |
| 90707 |
|
50 |
41 |
$334.12 |