| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,728 |
2,254 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,408 |
1,942 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,109 |
2,791 |
$148K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,362 |
1,183 |
$93K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,078 |
986 |
$81K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,750 |
2,359 |
$60K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
535 |
464 |
$43K |
| 96127 |
|
2,104 |
1,831 |
$37K |
| 90670 |
|
1,791 |
1,499 |
$28K |
| 90686 |
|
1,902 |
1,674 |
$20K |
| 90677 |
|
270 |
237 |
$19K |
| 90647 |
|
1,281 |
1,075 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
920 |
840 |
$14K |
| 90723 |
|
1,118 |
934 |
$12K |
| D1206 |
Topical application of fluoride varnish |
401 |
349 |
$10K |
| 90633 |
|
795 |
629 |
$10K |
| 90680 |
|
795 |
663 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
225 |
218 |
$7K |
| 90651 |
|
190 |
144 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
121 |
113 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
332 |
312 |
$4K |
| 83655 |
|
334 |
255 |
$4K |
| 90698 |
|
340 |
301 |
$4K |
| 90656 |
|
194 |
187 |
$3K |
| 90734 |
|
170 |
133 |
$3K |
| 92551 |
|
118 |
104 |
$2K |
| 96160 |
|
99 |
85 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 85018 |
|
378 |
298 |
$882.98 |
| 90715 |
|
55 |
39 |
$818.21 |
| 90716 |
|
64 |
49 |
$770.45 |
| 99173 |
|
99 |
90 |
$737.55 |
| 90710 |
|
46 |
43 |
$680.58 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
25 |
$666.90 |
| 90700 |
|
36 |
27 |
$585.69 |
| 87807 |
|
61 |
57 |
$584.48 |
| 90707 |
|
48 |
36 |
$503.09 |
| 90681 |
|
76 |
70 |
$486.40 |
| 90696 |
|
27 |
27 |
$328.29 |
| 90744 |
|
44 |
43 |
$307.74 |
| 36416 |
|
63 |
40 |
$188.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
41 |
40 |
$0.00 |
| 90461 |
|
15 |
15 |
$0.00 |