| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,914 |
12,648 |
$1.15M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,654 |
2,155 |
$205K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,648 |
2,183 |
$200K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,389 |
1,872 |
$165K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,110 |
2,740 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,592 |
1,291 |
$132K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,205 |
7,089 |
$131K |
| 83655 |
|
3,169 |
2,499 |
$37K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,753 |
1,571 |
$28K |
| 90670 |
|
1,457 |
1,175 |
$24K |
| 96127 |
|
1,104 |
1,011 |
$16K |
| 90648 |
|
1,346 |
1,073 |
$16K |
| 90686 |
|
1,451 |
1,156 |
$15K |
| 36416 |
|
3,435 |
2,805 |
$14K |
| 90723 |
|
819 |
665 |
$11K |
| 90716 |
|
650 |
556 |
$10K |
| 85018 |
|
3,422 |
2,737 |
$8K |
| 99381 |
|
84 |
80 |
$8K |
| 90734 |
|
503 |
412 |
$7K |
| 99401 |
|
358 |
201 |
$6K |
| 90651 |
|
247 |
209 |
$6K |
| 85014 |
|
2,551 |
2,023 |
$6K |
| 90707 |
|
447 |
380 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
479 |
448 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
114 |
109 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
133 |
$4K |
| D1206 |
Topical application of fluoride varnish |
152 |
96 |
$4K |
| 90633 |
|
263 |
233 |
$3K |
| 99383 |
|
28 |
28 |
$3K |
| 90715 |
|
179 |
153 |
$3K |
| 0072A |
|
49 |
49 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
73 |
72 |
$2K |
| 99382 |
|
18 |
12 |
$2K |
| 90620 |
|
158 |
139 |
$2K |
| 0071A |
|
39 |
39 |
$2K |
| 90680 |
|
59 |
49 |
$1K |
| 90656 |
|
68 |
67 |
$1K |
| 86580 |
|
191 |
139 |
$815.70 |
| 90700 |
|
64 |
51 |
$776.61 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
110 |
70 |
$619.34 |
| 87807 |
|
40 |
40 |
$407.65 |
| 90688 |
|
53 |
38 |
$357.04 |
| 90696 |
|
30 |
25 |
$192.48 |
| 81002 |
|
63 |
44 |
$165.40 |
| 97802 |
|
27 |
25 |
$25.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
27 |
25 |
$0.00 |