| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,722 |
7,586 |
$472K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,175 |
3,350 |
$321K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,687 |
1,400 |
$125K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,182 |
883 |
$88K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
966 |
755 |
$78K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,003 |
2,582 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
547 |
422 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,397 |
1,260 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,994 |
1,621 |
$32K |
| 90686 |
|
2,889 |
2,395 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
859 |
752 |
$30K |
| 99173 |
|
4,017 |
3,402 |
$29K |
| 96160 |
|
1,863 |
1,517 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,035 |
777 |
$27K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
521 |
470 |
$15K |
| 36416 |
|
2,677 |
2,211 |
$10K |
| 85018 |
|
3,426 |
2,642 |
$8K |
| 92551 |
|
309 |
224 |
$5K |
| 90656 |
|
274 |
252 |
$5K |
| 90651 |
|
215 |
155 |
$4K |
| 0071A |
|
96 |
91 |
$4K |
| 0072A |
|
89 |
88 |
$4K |
| 90670 |
|
169 |
128 |
$2K |
| 0074A |
|
39 |
39 |
$2K |
| 90620 |
|
70 |
58 |
$1K |
| 83655 |
|
97 |
94 |
$1K |
| 90619 |
|
45 |
38 |
$751.95 |
| 81003 |
|
309 |
224 |
$673.62 |
| 90734 |
|
50 |
26 |
$538.80 |
| 92583 |
|
15 |
15 |
$227.25 |
| 90707 |
|
31 |
25 |
$192.00 |
| 90700 |
|
25 |
25 |
$160.00 |
| 87807 |
|
13 |
12 |
$130.78 |
| 90685 |
|
14 |
12 |
$111.41 |
| 90698 |
|
12 |
12 |
$76.80 |
| 90680 |
|
12 |
12 |
$76.80 |
| 90716 |
|
13 |
12 |
$76.80 |
| 91307 |
|
181 |
172 |
$0.00 |
| 90461 |
|
140 |
82 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
672 |
532 |
$0.00 |