| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,898 |
13,933 |
$659K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,627 |
5,170 |
$351K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,046 |
8,861 |
$269K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,640 |
2,370 |
$145K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,558 |
2,327 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,053 |
1,839 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,807 |
1,621 |
$88K |
| 92587 |
|
3,193 |
2,821 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,178 |
4,244 |
$38K |
| 90671 |
|
355 |
292 |
$33K |
| 96127 |
|
7,747 |
5,370 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,029 |
962 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,713 |
1,478 |
$20K |
| 90677 |
|
165 |
141 |
$19K |
| 83655 |
|
1,365 |
1,216 |
$14K |
| 99402 |
|
681 |
612 |
$9K |
| 90619 |
|
143 |
123 |
$9K |
| 0001A |
|
92 |
92 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
602 |
556 |
$7K |
| 90670 |
|
934 |
863 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
493 |
267 |
$6K |
| 99188 |
|
215 |
180 |
$4K |
| 90686 |
|
3,496 |
3,227 |
$4K |
| 90651 |
|
590 |
541 |
$3K |
| 0002A |
|
87 |
86 |
$3K |
| 99177 |
|
710 |
553 |
$3K |
| 90710 |
|
396 |
353 |
$3K |
| 99173 |
|
1,421 |
1,295 |
$3K |
| 85018 |
|
1,341 |
1,201 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,243 |
1,149 |
$2K |
| 90723 |
|
912 |
811 |
$2K |
| 90620 |
|
154 |
142 |
$2K |
| 96161 |
|
736 |
607 |
$1K |
| D1208 |
Topical application of fluoride, excluding varnish |
106 |
104 |
$1K |
| 90633 |
|
415 |
355 |
$1K |
| 90647 |
|
806 |
709 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
41 |
$928.45 |
| 99381 |
|
15 |
12 |
$842.79 |
| 94010 |
|
39 |
39 |
$834.87 |
| 90734 |
|
353 |
304 |
$762.08 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
18 |
18 |
$707.47 |
| 36416 |
|
334 |
289 |
$683.46 |
| 90672 |
|
565 |
490 |
$680.12 |
| 99401 |
|
149 |
119 |
$644.13 |
| 90660 |
|
164 |
159 |
$214.73 |
| 90674 |
|
281 |
215 |
$206.73 |
| 90656 |
|
138 |
135 |
$156.35 |
| 90681 |
|
116 |
106 |
$116.35 |
| 90715 |
|
61 |
55 |
$75.72 |
| 87081 |
|
13 |
13 |
$54.67 |
| 81002 |
|
16 |
13 |
$36.92 |
| 97802 |
|
133 |
129 |
$21.61 |
| 90696 |
|
14 |
14 |
$10.50 |
| 91300 |
|
233 |
215 |
$2.21 |
| 91307 |
|
79 |
77 |
$0.62 |
| 3008F |
|
14,082 |
11,943 |
$0.00 |