| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,829 |
2,514 |
$174K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,272 |
2,065 |
$74K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
577 |
513 |
$51K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
927 |
865 |
$12K |
| 96127 |
|
702 |
654 |
$11K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
74 |
70 |
$10K |
| 99173 |
|
706 |
660 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
46 |
42 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
38 |
$4K |
| 92551 |
|
351 |
329 |
$3K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
210 |
183 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
19 |
$854.37 |
| D1206 |
Topical application of fluoride varnish |
59 |
53 |
$779.79 |
| D0145 |
Oral evaluation for a patient under three years of age |
15 |
12 |
$374.16 |
| 94760 |
|
91 |
77 |
$163.40 |
| H0049 |
Alcohol and/or drug screening |
14 |
13 |
$54.05 |
| 36416 |
|
30 |
24 |
$38.28 |
| 85018 |
|
14 |
12 |
$37.44 |
| 90672 |
|
188 |
181 |
$28.29 |
| 90687 |
|
188 |
179 |
$23.41 |
| 90686 |
|
212 |
196 |
$20.61 |
| 99000 |
|
108 |
101 |
$4.63 |
| 90461 |
|
367 |
335 |
$0.00 |
| 90670 |
|
15 |
13 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
309 |
294 |
$0.00 |
| 91307 |
|
29 |
27 |
$0.00 |
| 97802 |
|
128 |
127 |
$0.00 |
| 90656 |
|
13 |
13 |
$0.00 |