| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,990 |
49,745 |
$1.93M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,433 |
9,590 |
$584K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,784 |
3,554 |
$326K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,365 |
8,944 |
$215K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,577 |
2,230 |
$148K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,225 |
3,063 |
$118K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,144 |
3,999 |
$115K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,545 |
1,516 |
$111K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
7,722 |
7,216 |
$108K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,981 |
1,830 |
$88K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
992 |
934 |
$69K |
| 90461 |
|
1,411 |
1,361 |
$38K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
828 |
775 |
$38K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,115 |
967 |
$30K |
| 87634 |
|
501 |
460 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
304 |
291 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,157 |
2,994 |
$24K |
| 99408 |
|
734 |
698 |
$23K |
| 96127 |
|
3,099 |
2,754 |
$11K |
| 87081 |
|
1,689 |
1,582 |
$10K |
| 90686 |
|
2,144 |
2,069 |
$10K |
| 90688 |
|
648 |
614 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
789 |
778 |
$8K |
| 92587 |
|
220 |
216 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
206 |
190 |
$6K |
| 99072 |
|
4,984 |
4,433 |
$2K |
| 90633 |
|
68 |
68 |
$1K |
| 99174 |
|
57 |
57 |
$1K |
| 0071A |
|
26 |
26 |
$1K |
| 99215 |
Prolong outpt/office vis |
15 |
13 |
$959.80 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
14 |
12 |
$906.26 |
| 90685 |
|
155 |
155 |
$887.17 |
| 81001 |
|
195 |
182 |
$680.46 |
| 0072A |
|
15 |
15 |
$613.20 |
| 81003 |
|
311 |
298 |
$593.17 |
| 90672 |
|
40 |
35 |
$583.17 |
| D1206 |
Topical application of fluoride varnish |
27 |
25 |
$360.00 |
| 92583 |
|
12 |
12 |
$274.89 |
| 90698 |
|
241 |
227 |
$266.88 |
| 96160 |
|
87 |
82 |
$254.85 |
| 90671 |
|
39 |
39 |
$253.71 |
| 99177 |
|
99 |
97 |
$241.58 |
| 90473 |
|
13 |
13 |
$202.80 |
| 87807 |
|
14 |
13 |
$147.64 |
| 82465 |
|
28 |
28 |
$114.19 |
| 90670 |
|
153 |
139 |
$94.33 |
| 36416 |
|
2,028 |
1,885 |
$90.46 |
| 90785 |
|
14 |
12 |
$87.38 |
| 99000 |
|
89 |
78 |
$70.35 |
| 82947 |
|
14 |
13 |
$58.20 |
| 96161 |
|
14 |
13 |
$47.32 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$13.98 |
| 99051 |
|
443 |
400 |
$13.50 |
| 3008F |
|
7,317 |
7,049 |
$5.43 |
| 2014F |
|
1,013 |
967 |
$1.06 |
| 91307 |
|
41 |
38 |
$0.00 |
| 90680 |
|
37 |
37 |
$0.00 |
| 90656 |
|
12 |
12 |
$0.00 |