| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,365 |
7,472 |
$413K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,292 |
2,632 |
$251K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,629 |
2,193 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,710 |
1,459 |
$128K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
769 |
721 |
$64K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
304 |
299 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,499 |
2,177 |
$40K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,270 |
1,146 |
$32K |
| 90648 |
|
2,116 |
1,707 |
$22K |
| 90670 |
|
1,672 |
1,393 |
$20K |
| 92587 |
|
1,381 |
989 |
$20K |
| 90686 |
|
1,688 |
1,495 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
194 |
181 |
$17K |
| 90723 |
|
1,411 |
1,125 |
$15K |
| 90633 |
|
810 |
670 |
$10K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
710 |
657 |
$9K |
| 96112 |
|
254 |
225 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,781 |
1,419 |
$7K |
| 90677 |
|
329 |
294 |
$6K |
| 96160 |
|
466 |
389 |
$6K |
| 90710 |
|
351 |
250 |
$6K |
| 99000 |
|
235 |
212 |
$6K |
| 90681 |
|
449 |
359 |
$4K |
| 96127 |
|
184 |
169 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
265 |
258 |
$4K |
| 90734 |
|
230 |
188 |
$4K |
| 90651 |
|
221 |
193 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
73 |
65 |
$3K |
| 99383 |
|
14 |
12 |
$1K |
| 96111 |
|
82 |
64 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| D1206 |
Topical application of fluoride varnish |
41 |
28 |
$1K |
| 90715 |
|
71 |
61 |
$936.31 |
| 90696 |
|
56 |
47 |
$902.34 |
| 90661 |
|
43 |
42 |
$718.53 |
| 90700 |
|
41 |
41 |
$685.11 |
| 0071A |
|
17 |
17 |
$680.00 |
| 99173 |
|
69 |
55 |
$506.60 |
| 90716 |
|
34 |
30 |
$480.99 |
| 90656 |
|
21 |
20 |
$350.91 |
| 90707 |
|
20 |
16 |
$251.20 |
| 85018 |
|
95 |
83 |
$220.40 |
| 82465 |
|
40 |
39 |
$169.60 |
| 81003 |
|
12 |
12 |
$26.16 |
| 96161 |
|
136 |
127 |
$4.00 |
| 1003F |
|
1,533 |
1,295 |
$0.00 |
| 99177 |
|
141 |
109 |
$0.00 |
| 3725F |
|
228 |
189 |
$0.00 |
| 1036F |
|
355 |
300 |
$0.00 |
| 91307 |
|
13 |
13 |
$0.00 |