| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,438 |
44,639 |
$3.54M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,459 |
8,672 |
$1.02M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,235 |
7,656 |
$927K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,501 |
7,711 |
$886K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23,568 |
21,256 |
$882K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,457 |
6,026 |
$674K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,848 |
4,432 |
$541K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,008 |
16,460 |
$383K |
| 96127 |
|
13,773 |
12,251 |
$300K |
| 99177 |
|
17,619 |
16,072 |
$299K |
| 92587 |
|
13,444 |
12,027 |
$290K |
| 96160 |
|
14,266 |
12,808 |
$270K |
| 96161 |
|
15,961 |
14,102 |
$251K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
1,974 |
1,788 |
$241K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,404 |
6,627 |
$144K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,953 |
1,760 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,858 |
4,874 |
$53K |
| 92551 |
|
7,383 |
6,818 |
$40K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
376 |
365 |
$39K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
533 |
460 |
$35K |
| 36416 |
|
9,288 |
8,384 |
$28K |
| 92558 |
|
1,059 |
965 |
$22K |
| 99381 |
|
246 |
200 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
95 |
95 |
$16K |
| 99188 |
|
656 |
625 |
$14K |
| 83655 |
|
1,282 |
1,174 |
$13K |
| 92015 |
Determination of refractive state |
349 |
331 |
$9K |
| 99460 |
|
193 |
175 |
$8K |
| 99383 |
|
71 |
61 |
$7K |
| 90651 |
|
1,363 |
1,209 |
$7K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
105 |
76 |
$7K |
| 99173 |
|
1,215 |
973 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
195 |
168 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
47 |
43 |
$6K |
| 80061 |
Lipid panel |
466 |
439 |
$5K |
| 99051 |
|
701 |
590 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
104 |
$5K |
| 99382 |
|
45 |
41 |
$5K |
| 99384 |
|
31 |
28 |
$4K |
| 0071A |
|
99 |
97 |
$3K |
| 0072A |
|
83 |
82 |
$3K |
| 90620 |
|
249 |
224 |
$2K |
| 99174 |
|
145 |
119 |
$2K |
| 90686 |
|
12,964 |
11,558 |
$2K |
| 0001A |
|
54 |
45 |
$2K |
| 0002A |
|
27 |
27 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
52 |
47 |
$893.10 |
| 94760 |
|
573 |
492 |
$828.34 |
| D0145 |
Oral evaluation for a patient under three years of age |
23 |
20 |
$522.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
304 |
281 |
$476.10 |
| D1206 |
Topical application of fluoride varnish |
18 |
18 |
$446.40 |
| 99462 |
|
22 |
12 |
$435.68 |
| 92552 |
|
38 |
31 |
$339.92 |
| 85018 |
|
15,768 |
14,338 |
$330.04 |
| 87807 |
|
30 |
30 |
$295.47 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
29 |
$256.80 |
| 90734 |
|
820 |
756 |
$243.22 |
| 82947 |
|
53 |
43 |
$146.25 |
| 82465 |
|
28 |
26 |
$103.75 |
| 90656 |
|
18 |
18 |
$86.85 |
| 90716 |
|
445 |
408 |
$50.00 |
| 88720 |
|
15 |
13 |
$47.41 |
| 81000 |
|
36 |
24 |
$36.24 |
| 90715 |
|
300 |
276 |
$32.35 |
| 90671 |
|
507 |
465 |
$0.35 |
| 90658 |
|
994 |
877 |
$0.14 |
| 90648 |
|
507 |
470 |
$0.02 |
| 90670 |
|
3,324 |
3,094 |
$0.02 |
| 90633 |
|
1,718 |
1,597 |
$0.01 |
| 90700 |
|
52 |
52 |
$0.01 |
| 90685 |
|
111 |
106 |
$0.01 |
| 90723 |
|
1,289 |
1,224 |
$0.01 |
| 90696 |
|
322 |
303 |
$0.01 |
| 90707 |
|
440 |
399 |
$0.00 |
| 90461 |
|
135 |
83 |
$0.00 |
| 99072 |
|
2,025 |
1,808 |
$0.00 |
| 90710 |
|
285 |
270 |
$0.00 |
| 81002 |
|
47 |
46 |
$0.00 |
| 91300 |
|
136 |
74 |
$0.00 |
| 81003 |
|
15 |
13 |
$0.00 |
| 90681 |
|
44 |
41 |
$0.00 |
| 97802 |
|
1,490 |
1,441 |
$0.00 |
| 90647 |
|
843 |
825 |
$0.00 |
| 90619 |
|
84 |
74 |
$0.00 |
| 90680 |
|
1,503 |
1,389 |
$0.00 |
| 90698 |
|
1,073 |
966 |
$0.00 |
| 99000 |
|
801 |
673 |
$0.00 |
| 90744 |
|
437 |
383 |
$0.00 |
| 91307 |
|
243 |
219 |
$0.00 |
| 90677 |
|
38 |
38 |
$0.00 |