| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,546 |
3,888 |
$426K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
940 |
833 |
$126K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,363 |
2,164 |
$101K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
825 |
692 |
$81K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
653 |
614 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
540 |
525 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,445 |
2,043 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
288 |
283 |
$32K |
| 90677 |
|
279 |
259 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,469 |
1,367 |
$19K |
| D1206 |
Topical application of fluoride varnish |
601 |
585 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,634 |
1,489 |
$14K |
| 90686 |
|
602 |
587 |
$14K |
| 92551 |
|
1,141 |
1,107 |
$11K |
| 90647 |
|
481 |
448 |
$11K |
| 96127 |
|
1,633 |
1,564 |
$7K |
| 87807 |
|
660 |
600 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
58 |
55 |
$7K |
| 90723 |
|
316 |
295 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
49 |
$6K |
| 90633 |
|
231 |
222 |
$5K |
| 90670 |
|
227 |
215 |
$5K |
| 90680 |
|
220 |
204 |
$5K |
| 99173 |
|
1,648 |
1,590 |
$4K |
| 90716 |
|
158 |
155 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,288 |
1,140 |
$3K |
| 90707 |
|
118 |
114 |
$3K |
| 90656 |
|
108 |
108 |
$2K |
| 96161 |
|
966 |
770 |
$2K |
| 99384 |
|
14 |
14 |
$2K |
| 90619 |
|
29 |
27 |
$2K |
| 90700 |
|
55 |
53 |
$1K |
| 90651 |
|
46 |
46 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
45 |
$1K |
| 90661 |
|
39 |
38 |
$1K |
| 81002 |
|
346 |
311 |
$791.98 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$742.08 |
| 90713 |
|
22 |
21 |
$512.16 |
| 90715 |
|
19 |
19 |
$457.79 |
| 90621 |
|
20 |
18 |
$419.04 |
| W7000 |
|
76 |
74 |
$370.08 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
88 |
79 |
$114.74 |
| 36416 |
|
31 |
30 |
$3.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
18 |
16 |
$0.00 |