| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,616 |
30,037 |
$1.93M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,167 |
4,814 |
$415K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,448 |
4,045 |
$333K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,937 |
10,184 |
$313K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,117 |
2,901 |
$236K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,678 |
2,483 |
$225K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
6,360 |
5,829 |
$207K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,258 |
5,540 |
$150K |
| D0145 |
Oral evaluation for a patient under three years of age |
5,845 |
5,431 |
$128K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
9,268 |
8,258 |
$110K |
| D1206 |
Topical application of fluoride varnish |
5,925 |
5,530 |
$100K |
| 92551 |
|
10,513 |
9,663 |
$78K |
| 99401 |
|
3,178 |
2,812 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,002 |
5,672 |
$39K |
| S9470 |
Nutritional counseling, dietitian visit |
7,186 |
6,256 |
$29K |
| 99381 |
|
323 |
287 |
$26K |
| 92567 |
|
2,031 |
1,869 |
$22K |
| 87807 |
|
1,325 |
1,228 |
$14K |
| 96127 |
|
4,231 |
3,799 |
$12K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
302 |
243 |
$11K |
| 90461 |
|
2,794 |
2,529 |
$11K |
| 99173 |
|
10,254 |
9,269 |
$9K |
| 0001A |
|
233 |
219 |
$7K |
| 96160 |
|
5,797 |
5,205 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
221 |
163 |
$6K |
| 99384 |
|
59 |
54 |
$6K |
| 85018 |
|
3,879 |
3,513 |
$5K |
| 0002A |
|
156 |
153 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
782 |
640 |
$5K |
| 94664 |
|
424 |
376 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
258 |
227 |
$3K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
222 |
189 |
$3K |
| 0071A |
|
122 |
102 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
209 |
190 |
$3K |
| 0072A |
|
67 |
61 |
$2K |
| 81025 |
|
267 |
239 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
25 |
25 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
632 |
574 |
$1K |
| 90651 |
|
1,023 |
939 |
$972.93 |
| 99441 |
|
28 |
28 |
$896.62 |
| 81000 |
|
233 |
198 |
$578.75 |
| 96161 |
|
210 |
180 |
$433.76 |
| 90670 |
|
3,148 |
2,978 |
$393.54 |
| 90658 |
|
1,286 |
1,061 |
$64.58 |
| 94760 |
|
255 |
201 |
$24.47 |
| 90686 |
|
936 |
873 |
$16.27 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
5,847 |
5,303 |
$4.00 |
| 90710 |
|
213 |
199 |
$0.00 |
| 90633 |
|
1,634 |
1,499 |
$0.00 |
| 99408 |
|
1,167 |
969 |
$0.00 |
| 90734 |
|
560 |
485 |
$0.00 |
| 91300 |
|
332 |
317 |
$0.00 |
| 90681 |
|
171 |
169 |
$0.00 |
| 90700 |
|
140 |
130 |
$0.00 |
| 90707 |
|
251 |
233 |
$0.00 |
| 90715 |
|
347 |
296 |
$0.00 |
| 90647 |
|
2,224 |
2,086 |
$0.00 |
| 90723 |
|
2,229 |
2,113 |
$0.00 |
| 90680 |
|
1,534 |
1,453 |
$0.00 |
| 90696 |
|
224 |
208 |
$0.00 |
| 3353F |
|
12 |
12 |
$0.00 |
| 90677 |
|
237 |
223 |
$0.00 |
| 90716 |
|
240 |
223 |
$0.00 |
| 90697 |
|
220 |
210 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 3008F |
|
126 |
119 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
176 |
158 |
$0.00 |
| 91307 |
|
152 |
124 |
$0.00 |
| 90620 |
|
25 |
25 |
$0.00 |
| 3352F |
|
13 |
13 |
$0.00 |