| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,323 |
11,775 |
$666K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,400 |
3,522 |
$335K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,033 |
3,357 |
$275K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,685 |
2,351 |
$201K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,563 |
1,421 |
$129K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
476 |
452 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
615 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,582 |
3,101 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,754 |
1,543 |
$44K |
| 90648 |
|
3,336 |
2,659 |
$37K |
| 90670 |
|
2,538 |
2,044 |
$31K |
| 90686 |
|
3,028 |
2,657 |
$31K |
| 90723 |
|
2,486 |
1,960 |
$28K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,203 |
1,983 |
$27K |
| 92587 |
|
1,532 |
1,155 |
$21K |
| 90633 |
|
1,722 |
1,368 |
$20K |
| 90710 |
|
1,227 |
968 |
$18K |
| 96112 |
|
490 |
431 |
$16K |
| 90681 |
|
1,236 |
1,010 |
$15K |
| 90677 |
|
629 |
591 |
$12K |
| 99000 |
|
411 |
338 |
$10K |
| 96127 |
|
406 |
378 |
$9K |
| 90734 |
|
591 |
488 |
$9K |
| 96160 |
|
669 |
515 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
1,684 |
1,369 |
$7K |
| 99383 |
|
81 |
62 |
$7K |
| 90651 |
|
453 |
380 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
373 |
331 |
$6K |
| 90715 |
|
305 |
254 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
61 |
60 |
$3K |
| 90696 |
|
248 |
174 |
$3K |
| 90700 |
|
236 |
186 |
$3K |
| 99382 |
|
27 |
16 |
$3K |
| 99381 |
|
28 |
28 |
$3K |
| 99384 |
|
23 |
20 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
44 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
45 |
43 |
$2K |
| 0072A |
|
35 |
35 |
$1K |
| 90661 |
|
67 |
64 |
$1K |
| 96111 |
|
62 |
47 |
$948.26 |
| 90620 |
|
59 |
45 |
$877.99 |
| 99173 |
|
100 |
96 |
$745.00 |
| 0071A |
|
20 |
18 |
$720.00 |
| 90656 |
|
37 |
36 |
$618.27 |
| 85018 |
|
246 |
181 |
$567.93 |
| 81003 |
|
257 |
235 |
$554.82 |
| 82465 |
|
122 |
116 |
$517.28 |
| D1206 |
Topical application of fluoride varnish |
17 |
13 |
$442.00 |
| 1036F |
|
1,143 |
953 |
$0.00 |
| 96161 |
|
179 |
172 |
$0.00 |
| 99072 |
|
73 |
70 |
$0.00 |
| 99177 |
|
85 |
78 |
$0.00 |
| 1003F |
|
3,029 |
2,544 |
$0.00 |
| 3725F |
|
757 |
645 |
$0.00 |