| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,409 |
7,501 |
$708K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,261 |
2,963 |
$409K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
920 |
858 |
$98K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
832 |
796 |
$89K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
687 |
654 |
$80K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,598 |
6,207 |
$60K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
573 |
518 |
$56K |
| D1206 |
Topical application of fluoride varnish |
2,110 |
2,078 |
$52K |
| 90686 |
|
1,497 |
1,432 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
820 |
722 |
$32K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
875 |
796 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
343 |
276 |
$8K |
| 92551 |
|
692 |
669 |
$7K |
| 90670 |
|
253 |
242 |
$6K |
| 0071A |
|
140 |
139 |
$5K |
| 0072A |
|
120 |
117 |
$5K |
| 99174 |
|
666 |
618 |
$4K |
| 99173 |
|
1,237 |
1,187 |
$3K |
| 90671 |
|
63 |
56 |
$3K |
| 90723 |
|
108 |
101 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
166 |
145 |
$2K |
| 90656 |
|
88 |
74 |
$2K |
| 90648 |
|
72 |
71 |
$2K |
| 85018 |
|
758 |
699 |
$2K |
| 88738 |
|
321 |
307 |
$1K |
| 90651 |
|
61 |
54 |
$1K |
| 90633 |
|
52 |
50 |
$1K |
| 90697 |
|
32 |
25 |
$805.44 |
| 83655 |
|
64 |
55 |
$679.16 |
| 96161 |
|
249 |
228 |
$668.29 |
| 3008F |
|
2,568 |
2,419 |
$614.91 |
| 0124A |
|
13 |
12 |
$484.00 |
| 0002A |
|
13 |
13 |
$484.00 |
| 90681 |
|
14 |
13 |
$302.64 |
| 87070 |
|
61 |
57 |
$282.20 |
| 36416 |
|
952 |
756 |
$153.15 |
| 96127 |
|
28 |
28 |
$138.00 |
| 96160 |
|
29 |
29 |
$81.17 |
| 98966 |
|
119 |
102 |
$75.00 |
| 91307 |
|
145 |
129 |
$0.17 |
| 99000 |
|
14 |
12 |
$0.00 |