| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,333 |
1,201 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
123 |
111 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
107 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
71 |
66 |
$5K |
| 99173 |
|
299 |
266 |
$5K |
| 92551 |
|
296 |
273 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
135 |
97 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
67 |
62 |
$2K |
| 3008F |
|
436 |
403 |
$2K |
| 99188 |
|
154 |
142 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
110 |
$2K |
| 96127 |
|
310 |
283 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$793.03 |
| 90686 |
|
54 |
50 |
$727.18 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
14 |
13 |
$579.81 |
| 87807 |
|
54 |
46 |
$556.18 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
44 |
39 |
$489.75 |
| D1208 |
Topical application of fluoride, excluding varnish |
33 |
33 |
$425.37 |
| 99000 |
|
107 |
99 |
$362.64 |
| 36416 |
|
152 |
133 |
$328.84 |
| 80061 |
Lipid panel |
29 |
25 |
$327.09 |
| 90677 |
|
15 |
12 |
$166.80 |
| 90633 |
|
16 |
13 |
$165.00 |
| 83655 |
|
12 |
12 |
$128.33 |
| 82947 |
|
29 |
25 |
$89.67 |
| 88738 |
|
13 |
13 |
$80.47 |
| 82948 |
|
29 |
25 |
$68.29 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
307 |
288 |
$63.29 |
| 90461 |
|
172 |
159 |
$59.31 |