| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,112 |
26,302 |
$1.67M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,923 |
4,436 |
$377K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,863 |
8,977 |
$274K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,585 |
3,105 |
$259K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,844 |
2,610 |
$208K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,604 |
4,278 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,739 |
1,570 |
$146K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,095 |
5,391 |
$146K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,801 |
9,530 |
$129K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,946 |
4,445 |
$109K |
| D1206 |
Topical application of fluoride varnish |
4,899 |
4,416 |
$84K |
| 92551 |
|
8,012 |
7,144 |
$57K |
| 92567 |
|
4,071 |
3,564 |
$41K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,080 |
4,681 |
$33K |
| 87807 |
|
2,652 |
2,396 |
$27K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
2,198 |
1,907 |
$27K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,052 |
1,814 |
$23K |
| S9470 |
Nutritional counseling, dietitian visit |
5,425 |
4,609 |
$23K |
| 99401 |
|
1,665 |
1,406 |
$21K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
451 |
391 |
$19K |
| 94664 |
|
2,667 |
2,205 |
$18K |
| 99381 |
|
200 |
173 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
187 |
153 |
$13K |
| 90461 |
|
2,570 |
2,355 |
$11K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
303 |
241 |
$9K |
| 96127 |
|
3,055 |
2,632 |
$8K |
| 99173 |
|
8,072 |
7,077 |
$7K |
| 96160 |
|
4,642 |
4,101 |
$5K |
| 85018 |
|
3,148 |
2,728 |
$4K |
| 0071A |
|
98 |
89 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
427 |
304 |
$2K |
| 81000 |
|
1,018 |
889 |
$2K |
| 0072A |
|
75 |
73 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
1,076 |
925 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
1,985 |
1,729 |
$2K |
| 94760 |
|
7,766 |
6,461 |
$1K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
104 |
81 |
$1K |
| 0001A |
|
54 |
39 |
$1K |
| 0002A |
|
30 |
30 |
$997.12 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$910.00 |
| 81025 |
|
131 |
105 |
$756.07 |
| 90651 |
|
578 |
528 |
$619.92 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$510.09 |
| 90658 |
|
1,300 |
1,037 |
$243.66 |
| 81002 |
|
36 |
30 |
$76.34 |
| 90686 |
|
945 |
848 |
$50.03 |
| 96161 |
|
38 |
26 |
$46.39 |
| 90670 |
|
3,028 |
2,768 |
$0.48 |
| 90648 |
|
51 |
39 |
$0.18 |
| 90647 |
|
1,474 |
1,390 |
$0.04 |
| 90716 |
|
82 |
69 |
$0.02 |
| 90715 |
|
102 |
94 |
$0.01 |
| 90723 |
|
1,710 |
1,603 |
$0.00 |
| 90680 |
|
1,300 |
1,213 |
$0.00 |
| 91307 |
|
184 |
168 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
4,373 |
3,864 |
$0.00 |
| 3008F |
|
99 |
95 |
$0.00 |
| 90698 |
|
80 |
68 |
$0.00 |
| 90697 |
|
373 |
349 |
$0.00 |
| 90677 |
|
311 |
296 |
$0.00 |
| 90620 |
|
18 |
17 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
117 |
102 |
$0.00 |
| 90696 |
|
65 |
59 |
$0.00 |
| 90633 |
|
1,271 |
1,070 |
$0.00 |
| 90734 |
|
364 |
321 |
$0.00 |
| 99408 |
|
563 |
477 |
$0.00 |
| 90681 |
|
105 |
102 |
$0.00 |
| 90700 |
|
69 |
64 |
$0.00 |
| 91300 |
|
78 |
57 |
$0.00 |
| 90707 |
|
67 |
59 |
$0.00 |
| 90710 |
|
63 |
58 |
$0.00 |