| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,579 |
6,094 |
$601K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,074 |
2,051 |
$253K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,059 |
2,019 |
$252K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,701 |
4,626 |
$228K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,588 |
1,577 |
$183K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,281 |
1,238 |
$164K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
730 |
723 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
961 |
933 |
$51K |
| 90670 |
|
1,369 |
1,363 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
827 |
816 |
$18K |
| 90651 |
|
265 |
259 |
$15K |
| 90698 |
|
919 |
913 |
$13K |
| 90710 |
|
148 |
143 |
$11K |
| 90461 |
|
147 |
147 |
$9K |
| 90680 |
|
766 |
763 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
385 |
376 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
396 |
193 |
$6K |
| 90686 |
|
1,881 |
1,850 |
$6K |
| 96127 |
|
842 |
827 |
$6K |
| 99381 |
|
40 |
39 |
$5K |
| 90734 |
|
113 |
113 |
$4K |
| 90633 |
|
498 |
495 |
$3K |
| 90697 |
|
306 |
304 |
$3K |
| 90696 |
|
146 |
141 |
$3K |
| 90677 |
|
107 |
107 |
$1K |
| 90621 |
|
15 |
15 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
100 |
$1K |
| 90619 |
|
30 |
30 |
$1K |
| 90744 |
|
294 |
293 |
$937.10 |
| 90707 |
|
26 |
26 |
$812.64 |
| 90685 |
|
211 |
205 |
$805.16 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
20 |
20 |
$717.30 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$456.17 |
| 96380 |
|
13 |
13 |
$387.28 |
| 90656 |
|
147 |
147 |
$358.08 |
| D1206 |
Topical application of fluoride varnish |
17 |
16 |
$323.71 |
| 90715 |
|
26 |
26 |
$309.96 |
| 83655 |
|
25 |
25 |
$302.75 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
13 |
12 |
$8.58 |