| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,598 |
18,709 |
$1.42M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,777 |
3,622 |
$412K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,205 |
2,202 |
$201K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,367 |
4,286 |
$185K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,526 |
1,525 |
$139K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,595 |
1,592 |
$136K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,496 |
8,485 |
$131K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,512 |
2,287 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
536 |
535 |
$55K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
661 |
645 |
$27K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
875 |
860 |
$20K |
| 87807 |
|
1,116 |
1,104 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,174 |
1,165 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
781 |
781 |
$5K |
| 90461 |
|
2,004 |
2,004 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
186 |
186 |
$4K |
| 96127 |
|
587 |
578 |
$3K |
| 83655 |
|
118 |
118 |
$2K |
| 0072A |
|
27 |
27 |
$946.57 |
| D1206 |
Topical application of fluoride varnish |
26 |
26 |
$780.00 |
| 92558 |
|
1,016 |
1,013 |
$592.75 |
| 96160 |
|
279 |
278 |
$513.16 |
| 0071A |
|
12 |
12 |
$419.51 |
| 90686 |
|
3,289 |
3,282 |
$404.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
12 |
12 |
$390.00 |
| 85018 |
|
183 |
183 |
$365.05 |
| 99188 |
|
16 |
16 |
$167.43 |
| 99173 |
|
335 |
335 |
$82.52 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
60 |
$24.60 |
| 90670 |
|
734 |
734 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90685 |
|
72 |
71 |
$0.00 |
| 91311 |
|
14 |
14 |
$0.00 |
| 90633 |
|
38 |
38 |
$0.00 |
| 90723 |
|
273 |
272 |
$0.00 |
| 90647 |
|
234 |
234 |
$0.00 |
| 91307 |
|
22 |
16 |
$0.00 |
| 90656 |
|
246 |
246 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |