| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,548 |
3,129 |
$170K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,084 |
1,654 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,913 |
1,751 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,486 |
1,281 |
$102K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,273 |
1,138 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
633 |
560 |
$53K |
| 90648 |
|
1,266 |
1,076 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
673 |
520 |
$15K |
| 90686 |
|
1,143 |
1,000 |
$14K |
| D1206 |
Topical application of fluoride varnish |
451 |
346 |
$12K |
| 90723 |
|
891 |
768 |
$12K |
| 90670 |
|
968 |
835 |
$12K |
| 90633 |
|
710 |
546 |
$9K |
| 83655 |
|
578 |
450 |
$7K |
| 90680 |
|
443 |
385 |
$6K |
| 90677 |
|
299 |
259 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
164 |
126 |
$5K |
| 90651 |
|
285 |
231 |
$5K |
| 90734 |
|
316 |
271 |
$5K |
| 87428 |
|
60 |
57 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
78 |
70 |
$3K |
| 90696 |
|
214 |
174 |
$3K |
| 90710 |
|
210 |
168 |
$3K |
| 90656 |
|
144 |
142 |
$3K |
| 90715 |
|
135 |
112 |
$2K |
| 90716 |
|
91 |
71 |
$1K |
| 85018 |
|
546 |
428 |
$1K |
| 90707 |
|
79 |
60 |
$1K |
| 90681 |
|
54 |
37 |
$902.34 |
| 90700 |
|
55 |
47 |
$894.15 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$793.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
49 |
46 |
$763.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$375.60 |