| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,666 |
16,787 |
$1.62M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,576 |
10,086 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,329 |
4,145 |
$474K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,215 |
3,950 |
$454K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
10,086 |
7,851 |
$449K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,727 |
3,718 |
$419K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,077 |
2,913 |
$345K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
7,029 |
5,758 |
$268K |
| 97802 |
|
11,530 |
8,304 |
$155K |
| 92587 |
|
9,843 |
7,036 |
$130K |
| D1206 |
Topical application of fluoride varnish |
4,889 |
4,785 |
$121K |
| 99381 |
|
930 |
747 |
$84K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,262 |
2,701 |
$74K |
| 90648 |
|
3,573 |
3,063 |
$72K |
| 90686 |
|
3,816 |
3,001 |
$72K |
| 90677 |
|
751 |
670 |
$67K |
| 90670 |
|
2,953 |
2,491 |
$61K |
| 90723 |
|
2,739 |
2,362 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,856 |
4,078 |
$55K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,293 |
4,230 |
$50K |
| 90680 |
|
2,390 |
2,086 |
$49K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,840 |
8,737 |
$37K |
| 90707 |
|
1,873 |
1,527 |
$36K |
| 90716 |
|
1,847 |
1,506 |
$36K |
| 90633 |
|
1,755 |
1,468 |
$35K |
| 90715 |
|
1,750 |
1,435 |
$33K |
| 90734 |
|
1,717 |
1,359 |
$32K |
| 90651 |
|
1,511 |
1,226 |
$29K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
340 |
231 |
$27K |
| 83655 |
|
2,425 |
1,707 |
$19K |
| 90620 |
|
967 |
770 |
$19K |
| 96127 |
|
5,234 |
3,705 |
$18K |
| 99050 |
|
2,144 |
1,584 |
$16K |
| 90461 |
|
5,498 |
4,543 |
$16K |
| 99383 |
|
159 |
103 |
$15K |
| 85018 |
|
9,482 |
6,810 |
$14K |
| 99401 |
|
1,106 |
660 |
$13K |
| 90700 |
|
667 |
543 |
$13K |
| 90696 |
|
661 |
554 |
$13K |
| 0071A |
|
315 |
253 |
$10K |
| 0072A |
|
253 |
211 |
$9K |
| 87807 |
|
948 |
731 |
$9K |
| 96161 |
|
3,315 |
2,586 |
$7K |
| 90656 |
|
275 |
255 |
$6K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
352 |
319 |
$6K |
| 0001A |
|
156 |
140 |
$5K |
| 0002A |
|
151 |
137 |
$5K |
| 99173 |
|
2,184 |
1,796 |
$5K |
| 99384 |
|
35 |
26 |
$4K |
| 0003A |
|
112 |
84 |
$3K |
| 94760 |
|
1,448 |
1,047 |
$2K |
| 99382 |
|
15 |
13 |
$1K |
| 0081A |
|
34 |
30 |
$1K |
| 92558 |
|
1,420 |
1,197 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
430 |
423 |
$772.58 |
| 0073A |
|
18 |
16 |
$640.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$379.26 |
| 99051 |
|
29 |
28 |
$287.66 |
| 99441 |
|
134 |
112 |
$159.75 |
| 81002 |
|
87 |
67 |
$130.22 |
| 36416 |
|
8,632 |
5,004 |
$90.50 |
| 3008F |
|
53 |
35 |
$45.00 |
| 99000 |
|
47 |
38 |
$9.00 |
| 99072 |
|
262 |
194 |
$9.00 |
| 91307 |
|
750 |
526 |
$0.00 |
| 91300 |
|
539 |
419 |
$0.00 |
| 91308 |
|
82 |
68 |
$0.00 |