| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,269 |
5,441 |
$304K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,433 |
2,435 |
$264K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,966 |
2,675 |
$237K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,273 |
1,723 |
$156K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,274 |
998 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,439 |
2,823 |
$82K |
| D1206 |
Topical application of fluoride varnish |
2,606 |
1,821 |
$67K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,242 |
1,177 |
$51K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,529 |
1,293 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
416 |
343 |
$35K |
| 90670 |
|
1,756 |
1,287 |
$32K |
| 96127 |
|
2,102 |
1,665 |
$31K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
698 |
665 |
$30K |
| 99000 |
|
1,620 |
1,248 |
$15K |
| 92587 |
|
1,062 |
719 |
$14K |
| 90677 |
|
87 |
71 |
$12K |
| 90698 |
|
1,168 |
855 |
$11K |
| 90686 |
|
1,124 |
899 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
388 |
323 |
$10K |
| 85018 |
|
3,502 |
2,374 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
213 |
206 |
$8K |
| 90680 |
|
813 |
621 |
$7K |
| 90633 |
|
852 |
511 |
$7K |
| 87428 |
|
129 |
128 |
$7K |
| 90700 |
|
521 |
381 |
$6K |
| 87807 |
|
577 |
518 |
$6K |
| 90651 |
|
106 |
58 |
$5K |
| 90744 |
|
520 |
415 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
264 |
235 |
$3K |
| 86580 |
|
719 |
441 |
$3K |
| 90685 |
|
245 |
130 |
$2K |
| 36416 |
|
542 |
381 |
$2K |
| 81002 |
|
692 |
437 |
$2K |
| 83655 |
|
141 |
117 |
$2K |
| 90734 |
|
72 |
48 |
$1K |
| 90713 |
|
112 |
72 |
$1K |
| 90716 |
|
66 |
42 |
$1K |
| 90656 |
|
77 |
69 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
420 |
297 |
$1K |
| 90710 |
|
78 |
44 |
$975.21 |
| 90707 |
|
50 |
30 |
$914.53 |
| 90619 |
|
27 |
27 |
$451.17 |
| 99173 |
|
31 |
12 |
$230.95 |
| 90461 |
|
1,970 |
1,357 |
$220.00 |
| 90648 |
|
16 |
15 |
$102.40 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,462 |
2,504 |
$0.00 |
| 96161 |
|
619 |
487 |
$0.00 |