| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,631 |
2,791 |
$272K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,530 |
3,168 |
$255K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,561 |
2,870 |
$240K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,630 |
3,136 |
$165K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,894 |
5,499 |
$131K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,222 |
1,068 |
$92K |
| D1206 |
Topical application of fluoride varnish |
1,463 |
1,063 |
$38K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
361 |
310 |
$29K |
| 90670 |
|
2,143 |
1,798 |
$22K |
| 90686 |
|
1,504 |
1,282 |
$16K |
| 99173 |
|
2,158 |
1,896 |
$16K |
| 90633 |
|
1,452 |
1,120 |
$15K |
| 90698 |
|
1,275 |
1,081 |
$12K |
| 90648 |
|
858 |
709 |
$11K |
| 90680 |
|
1,111 |
963 |
$11K |
| 99381 |
|
111 |
110 |
$10K |
| 87428 |
|
107 |
101 |
$7K |
| 90744 |
|
634 |
535 |
$6K |
| 85018 |
|
2,487 |
2,134 |
$6K |
| 90677 |
|
289 |
239 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
62 |
59 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
145 |
128 |
$4K |
| 90723 |
|
294 |
250 |
$4K |
| 90710 |
|
285 |
238 |
$4K |
| 90656 |
|
152 |
152 |
$3K |
| 90651 |
|
201 |
164 |
$3K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
47 |
44 |
$2K |
| 81002 |
|
934 |
768 |
$2K |
| 90734 |
|
187 |
159 |
$2K |
| 90707 |
|
187 |
146 |
$2K |
| 90696 |
|
129 |
109 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
55 |
41 |
$2K |
| 90700 |
|
123 |
96 |
$2K |
| 87807 |
|
149 |
136 |
$1K |
| 90681 |
|
98 |
73 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
61 |
$1K |
| 90716 |
|
57 |
39 |
$827.86 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
63 |
57 |
$821.97 |
| 96127 |
|
55 |
55 |
$803.00 |
| 90715 |
|
61 |
54 |
$722.33 |
| 0071A |
|
22 |
16 |
$640.00 |
| 0072A |
|
14 |
14 |
$589.96 |
| 87420 |
|
28 |
28 |
$439.60 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
71 |
$419.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
22 |
18 |
$282.04 |
| 90647 |
|
43 |
43 |
$262.40 |
| 96160 |
|
21 |
14 |
$248.20 |
| 90620 |
|
15 |
12 |
$242.35 |
| 36415 |
Collection of venous blood by venipuncture |
87 |
84 |
$0.00 |