| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,995 |
10,247 |
$1.01M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,940 |
1,803 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,173 |
2,077 |
$230K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,914 |
1,826 |
$204K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,744 |
1,659 |
$203K |
| 92552 |
|
5,958 |
5,672 |
$145K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,197 |
1,104 |
$115K |
| D1206 |
Topical application of fluoride varnish |
3,701 |
1,883 |
$53K |
| 96127 |
|
5,296 |
5,074 |
$35K |
| 90677 |
|
208 |
203 |
$33K |
| 90688 |
|
1,189 |
1,151 |
$27K |
| 90698 |
|
1,038 |
976 |
$23K |
| 90670 |
|
907 |
844 |
$20K |
| 90651 |
|
715 |
677 |
$16K |
| 90734 |
|
571 |
537 |
$13K |
| 90633 |
|
553 |
530 |
$12K |
| 90680 |
|
478 |
431 |
$10K |
| 99173 |
|
3,693 |
3,521 |
$9K |
| 90744 |
|
416 |
382 |
$9K |
| 90710 |
|
315 |
297 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
782 |
740 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
562 |
505 |
$7K |
| 90621 |
|
200 |
186 |
$4K |
| 90687 |
|
194 |
187 |
$4K |
| 90686 |
|
153 |
150 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,078 |
1,008 |
$3K |
| 99381 |
|
25 |
24 |
$3K |
| 90656 |
|
111 |
111 |
$3K |
| 90715 |
|
106 |
99 |
$2K |
| 96161 |
|
794 |
715 |
$2K |
| 92567 |
|
110 |
101 |
$2K |
| 99383 |
|
13 |
13 |
$2K |
| 90658 |
|
50 |
50 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
85 |
73 |
$936.44 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
21 |
20 |
$814.16 |
| 90696 |
|
33 |
33 |
$721.68 |
| 99174 |
|
98 |
96 |
$599.00 |
| 90716 |
|
18 |
18 |
$419.04 |
| 90707 |
|
17 |
17 |
$395.76 |
| 90700 |
|
15 |
15 |
$349.20 |
| 90661 |
|
14 |
14 |
$305.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
154 |
132 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
103 |
90 |
$0.00 |