| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,300 |
3,667 |
$309K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,078 |
2,692 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,749 |
1,363 |
$134K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,303 |
1,056 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
877 |
783 |
$66K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
321 |
298 |
$26K |
| 90686 |
|
1,192 |
1,006 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
555 |
315 |
$10K |
| 90648 |
|
1,126 |
913 |
$9K |
| 90670 |
|
963 |
822 |
$8K |
| 90723 |
|
675 |
558 |
$5K |
| 83655 |
|
426 |
327 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
323 |
274 |
$5K |
| 90633 |
|
589 |
441 |
$5K |
| 90680 |
|
516 |
422 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
105 |
89 |
$3K |
| 90734 |
|
172 |
152 |
$2K |
| 90710 |
|
82 |
74 |
$2K |
| 90656 |
|
120 |
117 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
49 |
38 |
$2K |
| D1206 |
Topical application of fluoride varnish |
75 |
53 |
$2K |
| 90651 |
|
117 |
101 |
$2K |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$2K |
| 90677 |
|
74 |
55 |
$1K |
| 90696 |
|
81 |
73 |
$1K |
| 85018 |
|
404 |
303 |
$931.53 |
| 90715 |
|
87 |
72 |
$883.13 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
29 |
$408.16 |
| 90700 |
|
50 |
38 |
$378.30 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
12 |
$359.95 |
| 90716 |
|
13 |
13 |
$83.20 |
| 90707 |
|
12 |
12 |
$76.80 |