| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,553 |
6,567 |
$622K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,478 |
3,870 |
$518K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
883 |
820 |
$92K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
603 |
561 |
$64K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
806 |
715 |
$34K |
| 90686 |
|
1,466 |
1,306 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
225 |
204 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
173 |
$21K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,528 |
1,368 |
$18K |
| 87428 |
|
515 |
465 |
$15K |
| D1206 |
Topical application of fluoride varnish |
356 |
341 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
600 |
268 |
$6K |
| 92552 |
|
171 |
163 |
$4K |
| 99051 |
|
430 |
352 |
$4K |
| 90656 |
|
127 |
125 |
$3K |
| 92587 |
|
138 |
120 |
$2K |
| 96127 |
|
494 |
463 |
$2K |
| 90698 |
|
104 |
104 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
82 |
81 |
$2K |
| 0072A |
|
39 |
38 |
$2K |
| 90670 |
|
67 |
66 |
$1K |
| 99173 |
|
461 |
441 |
$1K |
| 99177 |
|
162 |
144 |
$766.87 |
| 0071A |
|
19 |
16 |
$644.76 |
| 90680 |
|
21 |
21 |
$465.60 |
| 90619 |
|
14 |
13 |
$437.64 |
| 90734 |
|
13 |
13 |
$302.64 |
| 99174 |
|
50 |
48 |
$265.46 |
| 81002 |
|
13 |
12 |
$28.58 |
| 99072 |
|
87 |
78 |
$18.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
37 |
33 |
$0.00 |
| 36416 |
|
14 |
13 |
$0.00 |