| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,082 |
7,526 |
$703K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,491 |
10,660 |
$682K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,311 |
5,951 |
$178K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,952 |
1,860 |
$170K |
| 99460 |
|
2,103 |
1,973 |
$166K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
2,039 |
1,906 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,291 |
1,177 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
981 |
956 |
$86K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
620 |
575 |
$57K |
| 92551 |
|
4,221 |
4,005 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,773 |
1,098 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
374 |
353 |
$16K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
186 |
159 |
$12K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
110 |
105 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
746 |
714 |
$10K |
| 99173 |
|
4,336 |
4,117 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
271 |
212 |
$9K |
| 99401 |
|
300 |
290 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
205 |
189 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
210 |
203 |
$7K |
| 87428 |
|
132 |
130 |
$5K |
| 83655 |
|
373 |
353 |
$4K |
| 99462 |
|
111 |
97 |
$4K |
| 87807 |
|
191 |
169 |
$2K |
| 85013 |
|
336 |
317 |
$2K |
| 96127 |
|
569 |
535 |
$2K |
| 80061 |
Lipid panel |
129 |
121 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
18 |
16 |
$613.48 |
| 85018 |
|
387 |
374 |
$553.33 |
| 92552 |
|
27 |
26 |
$544.29 |
| 96161 |
|
230 |
209 |
$431.16 |
| D1206 |
Topical application of fluoride varnish |
18 |
16 |
$405.80 |
| 96160 |
|
584 |
550 |
$327.99 |
| 96116 |
|
58 |
51 |
$254.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
37 |
35 |
$229.77 |
| 90651 |
|
265 |
254 |
$209.08 |
| 99050 |
|
15 |
15 |
$165.00 |
| 90686 |
|
1,155 |
1,099 |
$1.17 |
| 90670 |
|
879 |
829 |
$0.40 |
| 90633 |
|
237 |
227 |
$0.07 |
| 90734 |
|
205 |
195 |
$0.04 |
| 90715 |
|
84 |
80 |
$0.03 |
| 90710 |
|
69 |
66 |
$0.02 |
| 90723 |
|
425 |
400 |
$0.00 |
| 99070 |
|
116 |
110 |
$0.00 |
| 90696 |
|
68 |
66 |
$0.00 |
| 36416 |
|
62 |
62 |
$0.00 |
| 90647 |
|
113 |
111 |
$0.00 |
| 99177 |
|
526 |
483 |
$0.00 |
| 99072 |
|
1,081 |
905 |
$0.00 |
| 90685 |
|
63 |
55 |
$0.00 |
| 90461 |
|
427 |
397 |
$0.00 |
| 90681 |
|
126 |
124 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
40 |
40 |
$0.00 |