| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,543 |
3,474 |
$325K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,870 |
2,810 |
$286K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,157 |
3,091 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,243 |
19,741 |
$231K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
19,587 |
9,042 |
$231K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,908 |
4,508 |
$220K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,969 |
1,887 |
$163K |
| 87428 |
|
1,788 |
1,733 |
$126K |
| 99429 |
|
2,922 |
2,814 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,161 |
3,786 |
$47K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,309 |
5,060 |
$42K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
511 |
457 |
$42K |
| 99051 |
|
2,982 |
2,825 |
$22K |
| S8301 |
Infection control supplies, not otherwise specified |
6,054 |
5,593 |
$19K |
| 0071A |
|
309 |
306 |
$13K |
| 90461 |
|
3,588 |
2,977 |
$13K |
| 90480 |
|
566 |
371 |
$12K |
| 0124A |
|
338 |
317 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
398 |
364 |
$12K |
| 0001A |
|
283 |
277 |
$11K |
| 0003A |
|
238 |
234 |
$10K |
| 0002A |
|
249 |
245 |
$9K |
| 0072A |
|
224 |
221 |
$9K |
| 99381 |
|
108 |
98 |
$9K |
| 83655 |
|
740 |
714 |
$8K |
| 0154A |
|
183 |
181 |
$7K |
| 96160 |
|
3,493 |
3,358 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
573 |
561 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
524 |
240 |
$4K |
| 90686 |
|
4,801 |
4,473 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
745 |
717 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,123 |
1,015 |
$2K |
| 0081A |
|
57 |
56 |
$2K |
| 17110 |
|
15 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| 90621 |
|
795 |
767 |
$1K |
| 0073A |
|
31 |
31 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
39 |
36 |
$1K |
| 0173A |
|
28 |
28 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
64 |
63 |
$923.07 |
| 96380 |
|
98 |
90 |
$567.57 |
| 90734 |
|
693 |
682 |
$514.35 |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
22 |
21 |
$395.22 |
| 90651 |
|
1,034 |
1,014 |
$290.26 |
| 87807 |
|
26 |
22 |
$133.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
36 |
24 |
$88.62 |
| 90672 |
|
1,630 |
1,446 |
$55.07 |
| 90715 |
|
184 |
182 |
$37.18 |
| 81002 |
|
14 |
14 |
$12.84 |
| 85018 |
|
44 |
41 |
$8.76 |
| 90700 |
|
649 |
632 |
$0.00 |
| 90648 |
|
1,202 |
1,176 |
$0.00 |
| 90633 |
|
908 |
859 |
$0.00 |
| 90707 |
|
860 |
821 |
$0.00 |
| 91312 |
|
339 |
317 |
$0.00 |
| 91321 |
|
107 |
78 |
$0.00 |
| 91300 |
|
893 |
837 |
$0.00 |
| 90670 |
|
1,161 |
1,127 |
$0.00 |
| 90380 |
|
98 |
69 |
$0.00 |
| 91308 |
|
145 |
144 |
$0.00 |
| 90685 |
|
463 |
458 |
$0.00 |
| 90671 |
|
179 |
164 |
$0.00 |
| 90713 |
|
104 |
102 |
$0.00 |
| 91322 |
|
64 |
58 |
$0.00 |
| 91320 |
|
124 |
75 |
$0.00 |
| 90680 |
|
1,099 |
1,078 |
$0.00 |
| 90716 |
|
870 |
830 |
$0.00 |
| 96127 |
|
1,206 |
1,144 |
$0.00 |
| 91315 |
|
184 |
181 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
151 |
148 |
$0.00 |
| 90619 |
|
222 |
210 |
$0.00 |
| 91307 |
|
724 |
703 |
$0.00 |
| 90677 |
|
364 |
355 |
$0.00 |
| 90723 |
|
727 |
712 |
$0.00 |
| 90698 |
|
112 |
111 |
$0.00 |
| 91318 |
|
31 |
13 |
$0.00 |
| 90744 |
|
100 |
99 |
$0.00 |
| 91317 |
|
29 |
28 |
$0.00 |
| 90381 |
|
25 |
25 |
$0.00 |
| 90697 |
|
14 |
13 |
$0.00 |
| 91319 |
|
108 |
45 |
$0.00 |