| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
6,305 |
5,431 |
$850K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,876 |
8,852 |
$695K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,542 |
4,161 |
$464K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,658 |
8,081 |
$424K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,183 |
3,047 |
$328K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,488 |
2,406 |
$260K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,191 |
1,998 |
$210K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
356 |
326 |
$133K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,032 |
1,006 |
$115K |
| 99177 |
|
3,851 |
3,779 |
$73K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,236 |
4,021 |
$72K |
| 99050 |
|
5,110 |
4,374 |
$63K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
768 |
702 |
$56K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,357 |
1,290 |
$45K |
| 96127 |
|
2,386 |
2,293 |
$41K |
| 99443 |
|
588 |
507 |
$37K |
| 99442 |
|
626 |
543 |
$25K |
| 92551 |
|
2,476 |
2,390 |
$15K |
| 36416 |
|
4,225 |
4,066 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,179 |
1,122 |
$13K |
| 99173 |
|
1,828 |
1,748 |
$8K |
| 99381 |
|
61 |
59 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
510 |
390 |
$5K |
| 83026 |
|
2,199 |
2,117 |
$5K |
| 83655 |
|
390 |
364 |
$4K |
| 87807 |
|
294 |
270 |
$3K |
| 87631 |
|
23 |
22 |
$3K |
| 98967 |
|
36 |
36 |
$2K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
62 |
58 |
$2K |
| 87486 |
|
63 |
58 |
$2K |
| 87581 |
|
63 |
58 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$398.61 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
15 |
$388.50 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$310.80 |
| 90686 |
|
4,052 |
3,904 |
$0.40 |
| 90670 |
|
1,614 |
1,506 |
$0.31 |
| 90700 |
|
113 |
110 |
$0.01 |
| 90633 |
|
649 |
620 |
$0.00 |
| 90734 |
|
77 |
77 |
$0.00 |
| 90681 |
|
660 |
610 |
$0.00 |
| 90707 |
|
417 |
397 |
$0.00 |
| 90685 |
|
209 |
199 |
$0.00 |
| 90649 |
|
74 |
72 |
$0.00 |
| 90672 |
|
25 |
25 |
$0.00 |
| 90723 |
|
79 |
73 |
$0.00 |
| 90698 |
|
674 |
627 |
$0.00 |
| 90744 |
|
110 |
100 |
$0.00 |
| 90647 |
|
622 |
585 |
$0.00 |
| 90716 |
|
376 |
367 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90651 |
|
14 |
14 |
$0.00 |
| 90677 |
|
28 |
28 |
$0.00 |
| 90688 |
|
21 |
16 |
$0.00 |
| 90696 |
|
16 |
16 |
$0.00 |