| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,363 |
6,121 |
$592K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,307 |
1,996 |
$268K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,274 |
1,198 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,048 |
946 |
$116K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
822 |
768 |
$87K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,624 |
1,351 |
$60K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,611 |
1,526 |
$43K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
399 |
342 |
$37K |
| 92551 |
|
3,422 |
3,125 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,578 |
2,197 |
$32K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
680 |
536 |
$26K |
| 90686 |
|
1,249 |
1,140 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,606 |
2,273 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
241 |
$15K |
| W7010 |
|
586 |
513 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
636 |
503 |
$7K |
| D1206 |
Topical application of fluoride varnish |
252 |
250 |
$6K |
| 90651 |
|
176 |
165 |
$6K |
| 96127 |
|
1,297 |
1,158 |
$6K |
| 90670 |
|
85 |
82 |
$5K |
| 99173 |
|
1,867 |
1,687 |
$5K |
| 90656 |
|
187 |
185 |
$4K |
| 90716 |
|
82 |
69 |
$2K |
| 90648 |
|
112 |
107 |
$2K |
| 90734 |
|
85 |
80 |
$2K |
| 0001A |
|
61 |
59 |
$2K |
| 90707 |
|
81 |
69 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$2K |
| 96160 |
|
616 |
537 |
$2K |
| 0002A |
|
39 |
39 |
$1K |
| 90633 |
|
55 |
43 |
$1K |
| 90723 |
|
39 |
36 |
$828.72 |
| 0111A |
|
17 |
13 |
$520.00 |
| 36415 |
Collection of venous blood by venipuncture |
99 |
88 |
$431.36 |
| 90620 |
|
12 |
12 |
$260.72 |
| 81002 |
|
49 |
42 |
$123.97 |
| 99000 |
|
757 |
655 |
$20.22 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
34 |
28 |
$0.00 |
| 99072 |
|
64 |
64 |
$0.00 |