| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,822 |
3,270 |
$426K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,600 |
1,216 |
$133K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,077 |
1,480 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,559 |
1,007 |
$109K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,775 |
3,113 |
$42K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
427 |
291 |
$25K |
| 92552 |
|
1,087 |
947 |
$25K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
227 |
204 |
$24K |
| 99233 |
Prolong inpt eval add15 m |
347 |
205 |
$24K |
| 99460 |
|
368 |
265 |
$21K |
| 99050 |
|
2,352 |
1,512 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
447 |
402 |
$19K |
| 96127 |
|
4,289 |
2,724 |
$14K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
264 |
244 |
$13K |
| 96160 |
|
5,870 |
3,331 |
$12K |
| 90670 |
|
768 |
518 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
853 |
431 |
$10K |
| 90686 |
|
312 |
299 |
$6K |
| 90698 |
|
347 |
282 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
880 |
559 |
$6K |
| 90680 |
|
268 |
218 |
$5K |
| 90633 |
|
272 |
165 |
$3K |
| 99401 |
|
3,329 |
1,527 |
$3K |
| 99495 |
|
17 |
14 |
$3K |
| 36410 |
|
293 |
237 |
$3K |
| G9920 |
Screening performed and negative |
1,737 |
1,502 |
$3K |
| 90688 |
|
135 |
111 |
$2K |
| 96161 |
|
1,212 |
772 |
$2K |
| 99173 |
|
1,112 |
917 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
149 |
132 |
$2K |
| 90648 |
|
163 |
102 |
$2K |
| 90744 |
|
131 |
93 |
$2K |
| 83655 |
|
243 |
181 |
$2K |
| 99177 |
|
374 |
333 |
$2K |
| 90710 |
|
73 |
66 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 90685 |
|
82 |
60 |
$1K |
| 0001A |
|
36 |
36 |
$1K |
| 99058 |
|
138 |
125 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
18 |
12 |
$1K |
| 90723 |
|
87 |
49 |
$996.73 |
| 0072A |
|
22 |
21 |
$884.00 |
| 81002 |
|
588 |
361 |
$768.49 |
| 90461 |
|
238 |
161 |
$744.30 |
| 99174 |
|
121 |
113 |
$679.41 |
| 85018 |
|
267 |
211 |
$420.73 |
| 99000 |
|
2,310 |
1,586 |
$391.20 |
| 87807 |
|
32 |
29 |
$340.07 |
| 99188 |
|
242 |
198 |
$224.42 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$171.38 |
| 36416 |
|
383 |
216 |
$70.00 |
| D1206 |
Topical application of fluoride varnish |
618 |
501 |
$29.00 |
| 94760 |
|
281 |
63 |
$27.58 |
| D0145 |
Oral evaluation for a patient under three years of age |
93 |
55 |
$0.00 |