| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,020 |
1,820 |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
984 |
928 |
$79K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
650 |
542 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
522 |
411 |
$36K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
672 |
644 |
$28K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
305 |
270 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
821 |
709 |
$15K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
277 |
265 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
123 |
$12K |
| 96127 |
|
751 |
650 |
$11K |
| D1206 |
Topical application of fluoride varnish |
411 |
351 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
544 |
382 |
$9K |
| 87428 |
|
101 |
98 |
$6K |
| 90677 |
|
46 |
42 |
$5K |
| 90670 |
|
256 |
196 |
$5K |
| 99000 |
|
224 |
195 |
$3K |
| 90686 |
|
173 |
166 |
$3K |
| 92587 |
|
167 |
145 |
$2K |
| 90698 |
|
150 |
106 |
$2K |
| 85018 |
|
926 |
786 |
$2K |
| 87807 |
|
142 |
129 |
$1K |
| 90700 |
|
77 |
50 |
$1K |
| 99284 |
Emergency department visit for the evaluation and management, high severity |
16 |
16 |
$1K |
| 90651 |
|
43 |
25 |
$926.90 |
| 90656 |
|
50 |
46 |
$835.50 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
23 |
22 |
$812.59 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
57 |
$707.18 |
| 99283 |
Emergency department visit for the evaluation and management, moderate severity |
17 |
17 |
$678.42 |
| 81002 |
|
254 |
223 |
$657.60 |
| 90680 |
|
44 |
38 |
$648.22 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
13 |
$613.71 |
| 86580 |
|
99 |
77 |
$516.78 |
| 90734 |
|
34 |
13 |
$514.19 |
| 90619 |
|
27 |
27 |
$451.17 |
| 36416 |
|
82 |
61 |
$336.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
451 |
332 |
$0.00 |
| 90461 |
|
139 |
89 |
$0.00 |