| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,088 |
8,756 |
$1.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,013 |
2,700 |
$367K |
| 92550 |
|
5,785 |
5,206 |
$138K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,335 |
1,267 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,230 |
1,123 |
$112K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,475 |
2,109 |
$96K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
805 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,530 |
2,770 |
$74K |
| 87430 |
|
4,855 |
4,017 |
$61K |
| 94010 |
|
1,597 |
1,398 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
253 |
236 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,915 |
3,136 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,824 |
2,636 |
$25K |
| D1206 |
Topical application of fluoride varnish |
819 |
807 |
$21K |
| 90698 |
|
930 |
861 |
$20K |
| 90670 |
|
773 |
724 |
$17K |
| 92551 |
|
1,496 |
1,410 |
$15K |
| 90680 |
|
453 |
417 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
103 |
92 |
$9K |
| 86328 |
|
199 |
186 |
$9K |
| 90633 |
|
289 |
278 |
$6K |
| 90687 |
|
327 |
316 |
$6K |
| 87807 |
|
565 |
482 |
$6K |
| 90744 |
|
259 |
241 |
$5K |
| 99177 |
|
1,033 |
961 |
$5K |
| 90710 |
|
237 |
222 |
$5K |
| 81000 |
|
1,680 |
1,557 |
$5K |
| 90677 |
|
41 |
38 |
$5K |
| 99173 |
|
666 |
625 |
$2K |
| 83655 |
|
132 |
122 |
$1K |
| 90651 |
|
52 |
46 |
$1K |
| 90686 |
|
34 |
33 |
$740.49 |
| 90671 |
|
36 |
29 |
$717.06 |
| 90715 |
|
29 |
27 |
$600.64 |
| W7000 |
|
125 |
111 |
$596.69 |
| 90700 |
|
13 |
12 |
$298.00 |
| 90649 |
|
13 |
13 |
$279.36 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
17 |
16 |
$210.24 |
| 96127 |
|
41 |
41 |
$206.27 |
| 96161 |
|
84 |
64 |
$117.42 |