| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,185 |
5,090 |
$301K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,675 |
3,258 |
$281K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,660 |
1,458 |
$121K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,339 |
1,196 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,394 |
1,142 |
$103K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,209 |
1,003 |
$82K |
| 92552 |
|
1,823 |
1,586 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,934 |
1,672 |
$31K |
| 96127 |
|
1,586 |
1,451 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,277 |
1,146 |
$20K |
| 90670 |
|
608 |
516 |
$12K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
487 |
232 |
$10K |
| 97802 |
|
945 |
789 |
$9K |
| 83655 |
|
624 |
466 |
$7K |
| 99173 |
|
812 |
705 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
391 |
365 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
115 |
72 |
$4K |
| 90619 |
|
142 |
112 |
$2K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
87 |
86 |
$2K |
| 90677 |
|
35 |
29 |
$2K |
| 90680 |
|
167 |
135 |
$2K |
| 36416 |
|
378 |
310 |
$2K |
| 90734 |
|
135 |
101 |
$1K |
| 90698 |
|
128 |
116 |
$1K |
| 85018 |
|
608 |
466 |
$1K |
| 90700 |
|
175 |
152 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$1K |
| 90707 |
|
70 |
58 |
$870.58 |
| D1206 |
Topical application of fluoride varnish |
33 |
33 |
$858.00 |
| 90686 |
|
98 |
96 |
$843.71 |
| 90716 |
|
69 |
66 |
$606.56 |
| 90651 |
|
33 |
27 |
$430.01 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
14 |
$410.40 |
| 90744 |
|
25 |
25 |
$309.86 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
77 |
$270.60 |
| 90713 |
|
41 |
40 |
$262.40 |
| 90648 |
|
29 |
28 |
$185.60 |
| 96160 |
|
12 |
12 |
$175.20 |
| 90633 |
|
15 |
13 |
$96.00 |