| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,415 |
1,365 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,460 |
1,432 |
$121K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,280 |
1,256 |
$100K |
| 87428 |
|
1,191 |
1,154 |
$85K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,307 |
3,109 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
487 |
482 |
$37K |
| 99429 |
|
1,062 |
1,054 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,509 |
1,325 |
$10K |
| 99383 |
|
67 |
65 |
$6K |
| 0071A |
|
96 |
96 |
$4K |
| 99382 |
|
37 |
37 |
$3K |
| 90461 |
|
1,820 |
1,486 |
$3K |
| 0072A |
|
72 |
72 |
$3K |
| 96160 |
|
2,997 |
2,554 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
81 |
80 |
$2K |
| 99051 |
|
847 |
820 |
$2K |
| 90620 |
|
322 |
315 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,273 |
7,236 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
12 |
12 |
$173.16 |
| 90651 |
|
465 |
457 |
$150.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
316 |
$148.09 |
| 86580 |
|
13 |
13 |
$109.46 |
| 90658 |
|
527 |
520 |
$92.25 |
| 90714 |
|
58 |
58 |
$0.00 |
| 90670 |
|
650 |
645 |
$0.00 |
| 97803 |
|
3,796 |
3,691 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,413 |
4,191 |
$0.00 |
| 90633 |
|
246 |
244 |
$0.00 |
| 90681 |
|
53 |
53 |
$0.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
452 |
428 |
$0.00 |
| 90734 |
|
318 |
309 |
$0.00 |
| 90710 |
|
224 |
223 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 96127 |
|
111 |
111 |
$0.00 |
| 91307 |
|
218 |
205 |
$0.00 |
| 90647 |
|
138 |
137 |
$0.00 |
| 90697 |
|
203 |
203 |
$0.00 |
| 87807 |
|
27 |
27 |
$0.00 |
| 90680 |
|
70 |
69 |
$0.00 |
| 90698 |
|
27 |
26 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$0.00 |