| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,342 |
21,214 |
$2.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,559 |
3,352 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,910 |
2,759 |
$186K |
| 87428 |
|
3,778 |
3,541 |
$181K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,630 |
2,520 |
$172K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,500 |
2,362 |
$159K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,833 |
10,227 |
$101K |
| 90686 |
|
5,126 |
4,839 |
$93K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
417 |
391 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
567 |
544 |
$55K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,040 |
1,861 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
693 |
635 |
$45K |
| 90670 |
|
2,424 |
2,312 |
$45K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,324 |
2,164 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,715 |
3,492 |
$44K |
| 90680 |
|
1,884 |
1,804 |
$35K |
| 92015 |
Determination of refractive state |
3,739 |
3,506 |
$29K |
| 90633 |
|
1,592 |
1,491 |
$28K |
| 99401 |
|
869 |
811 |
$27K |
| 90698 |
|
1,408 |
1,356 |
$26K |
| 92551 |
|
5,594 |
5,270 |
$25K |
| 90649 |
|
902 |
847 |
$16K |
| 90744 |
|
861 |
826 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,752 |
1,602 |
$16K |
| 83655 |
|
1,117 |
1,036 |
$15K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
503 |
435 |
$13K |
| 99381 |
|
201 |
187 |
$12K |
| 90697 |
|
643 |
618 |
$12K |
| 96127 |
|
3,026 |
2,849 |
$10K |
| 90733 |
|
508 |
483 |
$9K |
| G0312 |
Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes) |
675 |
645 |
$8K |
| 90677 |
|
445 |
414 |
$8K |
| 36416 |
|
3,407 |
3,125 |
$8K |
| 90700 |
|
423 |
398 |
$8K |
| 99461 |
|
79 |
78 |
$7K |
| 87430 |
|
535 |
510 |
$7K |
| 90619 |
|
369 |
342 |
$7K |
| 90648 |
|
378 |
352 |
$7K |
| 90707 |
|
353 |
330 |
$6K |
| 90480 |
|
180 |
161 |
$6K |
| 90716 |
|
302 |
284 |
$5K |
| 90685 |
|
303 |
289 |
$5K |
| 87807 |
|
489 |
458 |
$5K |
| 90710 |
|
281 |
254 |
$5K |
| 90715 |
|
255 |
231 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
383 |
364 |
$4K |
| 92567 |
|
329 |
304 |
$4K |
| 90656 |
|
195 |
193 |
$4K |
| 90696 |
|
197 |
176 |
$3K |
| 91321 |
|
177 |
170 |
$3K |
| D1206 |
Topical application of fluoride varnish |
197 |
186 |
$3K |
| 91322 |
|
63 |
56 |
$2K |
| 0071A |
|
47 |
40 |
$2K |
| 0072A |
|
30 |
30 |
$1K |
| 90713 |
|
65 |
58 |
$1K |
| 90674 |
|
43 |
42 |
$811.39 |
| 99383 |
|
12 |
12 |
$770.00 |
| 90723 |
|
47 |
40 |
$732.23 |
| 90461 |
|
48 |
46 |
$559.00 |
| 90381 |
|
30 |
28 |
$534.33 |
| 0144A |
|
17 |
14 |
$480.00 |
| 81002 |
|
138 |
126 |
$373.83 |
| 91307 |
|
110 |
95 |
$0.00 |
| 91314 |
|
35 |
29 |
$0.00 |
| 91305 |
|
29 |
27 |
$0.00 |
| 96380 |
|
16 |
15 |
$0.00 |