| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,041 |
2,334 |
$229K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,467 |
3,631 |
$216K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,296 |
1,093 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,270 |
1,121 |
$95K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,136 |
582 |
$58K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
606 |
546 |
$50K |
| 96127 |
|
1,563 |
1,365 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
543 |
356 |
$25K |
| 99000 |
|
1,234 |
937 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
221 |
199 |
$15K |
| 92551 |
|
843 |
787 |
$13K |
| 90686 |
|
1,167 |
1,045 |
$11K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
221 |
146 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
412 |
380 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
218 |
190 |
$4K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
237 |
214 |
$3K |
| 99215 |
Prolong outpt/office vis |
42 |
39 |
$3K |
| 0002A |
|
52 |
52 |
$2K |
| D1206 |
Topical application of fluoride varnish |
76 |
75 |
$2K |
| 0001A |
|
46 |
44 |
$2K |
| 36416 |
|
445 |
384 |
$2K |
| 0072A |
|
37 |
33 |
$2K |
| 0071A |
|
36 |
36 |
$2K |
| 99051 |
|
1,052 |
834 |
$1K |
| 83655 |
|
100 |
82 |
$1K |
| 90670 |
|
138 |
107 |
$1K |
| 90648 |
|
128 |
96 |
$1K |
| 90651 |
|
73 |
71 |
$947.60 |
| 90661 |
|
47 |
41 |
$785.37 |
| 90734 |
|
46 |
43 |
$549.50 |
| 90672 |
|
42 |
40 |
$526.55 |
| 94664 |
|
32 |
14 |
$486.40 |
| 85018 |
|
190 |
153 |
$440.80 |
| 90656 |
|
24 |
22 |
$412.19 |
| 99177 |
|
546 |
491 |
$362.00 |
| 90685 |
|
34 |
29 |
$281.20 |
| 90671 |
|
12 |
12 |
$233.42 |
| 90680 |
|
13 |
13 |
$217.23 |
| 90723 |
|
26 |
25 |
$180.00 |
| 92587 |
|
13 |
12 |
$176.18 |
| 90633 |
|
13 |
13 |
$83.20 |
| 90715 |
|
12 |
12 |
$76.80 |
| 94760 |
|
758 |
592 |
$66.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,127 |
2,451 |
$6.40 |
| 90461 |
|
856 |
720 |
$0.00 |
| 1003F |
|
2,053 |
1,773 |
$0.00 |
| 99072 |
|
1,095 |
929 |
$0.00 |
| 1036F |
|
580 |
506 |
$0.00 |
| 1220F |
|
338 |
293 |
$0.00 |