| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,458 |
3,915 |
$500K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,121 |
2,793 |
$301K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,670 |
3,311 |
$297K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,810 |
2,702 |
$297K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,702 |
2,602 |
$286K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,376 |
2,295 |
$266K |
| 90686 |
|
3,144 |
2,995 |
$71K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,427 |
2,351 |
$44K |
| 90670 |
|
1,665 |
1,598 |
$37K |
| 96127 |
|
7,582 |
6,289 |
$33K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
701 |
615 |
$28K |
| 90680 |
|
1,244 |
1,157 |
$27K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
237 |
231 |
$26K |
| 90633 |
|
1,078 |
1,042 |
$24K |
| 90651 |
|
996 |
970 |
$23K |
| D1206 |
Topical application of fluoride varnish |
917 |
906 |
$23K |
| 90698 |
|
977 |
940 |
$22K |
| 90710 |
|
971 |
929 |
$22K |
| 90697 |
|
904 |
834 |
$19K |
| 99381 |
|
169 |
159 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,538 |
1,482 |
$17K |
| 90744 |
|
575 |
544 |
$12K |
| 90734 |
|
515 |
509 |
$12K |
| 90620 |
|
494 |
475 |
$11K |
| W7000 |
|
2,214 |
2,134 |
$11K |
| 90677 |
|
478 |
429 |
$10K |
| 0001A |
|
274 |
260 |
$10K |
| 0002A |
|
252 |
248 |
$10K |
| 90619 |
|
462 |
424 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
903 |
821 |
$9K |
| 0071A |
|
221 |
214 |
$8K |
| 90715 |
|
364 |
352 |
$8K |
| 0072A |
|
192 |
188 |
$7K |
| 87400 |
|
920 |
418 |
$7K |
| 90696 |
|
264 |
261 |
$6K |
| 83655 |
|
566 |
541 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
104 |
$5K |
| 96161 |
|
1,727 |
1,615 |
$5K |
| 0004A |
|
91 |
89 |
$3K |
| 90656 |
|
175 |
171 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
274 |
256 |
$3K |
| 92081 |
|
137 |
127 |
$3K |
| 90661 |
|
151 |
151 |
$2K |
| 92551 |
|
253 |
244 |
$2K |
| 0124A |
|
51 |
48 |
$2K |
| 99383 |
|
17 |
15 |
$2K |
| 0054A |
|
36 |
36 |
$1K |
| 90648 |
|
47 |
46 |
$1K |
| 87420 |
|
108 |
95 |
$938.24 |
| 85018 |
|
547 |
525 |
$788.49 |
| 87428 |
|
20 |
20 |
$736.41 |
| 90700 |
|
26 |
25 |
$582.00 |
| 0081A |
|
14 |
14 |
$520.00 |
| 0074A |
|
12 |
12 |
$440.00 |
| 87807 |
|
53 |
43 |
$428.16 |
| 81003 |
|
306 |
295 |
$135.24 |
| 94664 |
|
20 |
12 |
$126.00 |
| 94761 |
|
31 |
24 |
$104.08 |
| 36416 |
|
67 |
57 |
$11.50 |
| 99000 |
|
202 |
192 |
$0.00 |
| INVCD |
|
25 |
25 |
$0.00 |