| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,037 |
30,221 |
$3.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,661 |
8,736 |
$1.10M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,446 |
3,974 |
$457K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,586 |
3,272 |
$377K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,620 |
2,843 |
$330K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,454 |
2,311 |
$282K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,012 |
1,893 |
$247K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,099 |
1,905 |
$239K |
| D1206 |
Topical application of fluoride varnish |
4,797 |
4,723 |
$119K |
| 97802 |
|
6,757 |
5,398 |
$109K |
| 90686 |
|
3,767 |
3,204 |
$76K |
| 90698 |
|
2,513 |
2,161 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,487 |
3,968 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,087 |
999 |
$46K |
| 90670 |
|
1,973 |
1,673 |
$41K |
| 90680 |
|
1,754 |
1,490 |
$37K |
| 90677 |
|
484 |
436 |
$35K |
| 96127 |
|
7,719 |
6,993 |
$34K |
| 90716 |
|
1,309 |
1,154 |
$28K |
| 90744 |
|
1,336 |
1,161 |
$28K |
| 90707 |
|
1,281 |
1,131 |
$27K |
| 99385 |
|
234 |
215 |
$27K |
| 90633 |
|
1,224 |
1,075 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,380 |
6,190 |
$24K |
| 3008F |
|
14,515 |
12,517 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
839 |
781 |
$21K |
| 99050 |
|
1,341 |
1,123 |
$17K |
| 90651 |
|
762 |
675 |
$16K |
| 99496 |
|
53 |
51 |
$14K |
| 3074F |
|
3,331 |
2,943 |
$12K |
| 90461 |
|
3,144 |
2,649 |
$11K |
| 0071A |
|
248 |
231 |
$10K |
| 99381 |
|
93 |
80 |
$9K |
| 99401 |
|
418 |
311 |
$9K |
| 0072A |
|
250 |
225 |
$9K |
| 90696 |
|
391 |
344 |
$9K |
| 90656 |
|
382 |
372 |
$8K |
| 3078F |
|
2,439 |
2,175 |
$7K |
| 90619 |
|
209 |
176 |
$7K |
| 99173 |
|
2,688 |
2,336 |
$7K |
| 90733 |
|
63 |
61 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
608 |
498 |
$5K |
| 3079F |
|
1,903 |
1,703 |
$5K |
| 99383 |
|
43 |
39 |
$5K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
211 |
200 |
$5K |
| 92015 |
Determination of refractive state |
254 |
215 |
$4K |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
159 |
124 |
$4K |
| 90734 |
|
193 |
168 |
$4K |
| 90715 |
|
189 |
165 |
$4K |
| 99386 |
|
34 |
27 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
245 |
232 |
$3K |
| 99051 |
|
343 |
282 |
$3K |
| 3077F |
|
875 |
753 |
$3K |
| 3075F |
|
901 |
804 |
$2K |
| 90688 |
|
149 |
136 |
$2K |
| 96161 |
|
1,487 |
1,249 |
$2K |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
94 |
77 |
$2K |
| 0001A |
|
42 |
40 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
20 |
$1K |
| 83655 |
|
166 |
140 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
92 |
68 |
$1K |
| 3080F |
|
721 |
622 |
$1K |
| 93000 |
|
76 |
72 |
$1K |
| 81002 |
|
328 |
295 |
$809.54 |
| 90662 |
|
27 |
27 |
$722.37 |
| 90621 |
|
30 |
27 |
$651.84 |
| 0002A |
|
19 |
17 |
$640.00 |
| 87807 |
|
51 |
48 |
$581.45 |
| 99497 |
|
68 |
62 |
$360.51 |
| 85018 |
|
162 |
139 |
$307.73 |
| G0008 |
Administration of influenza virus vaccine |
30 |
30 |
$80.15 |
| 36416 |
|
693 |
483 |
$70.00 |
| 91307 |
|
345 |
288 |
$0.97 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
40 |
37 |
$0.00 |
| 3288F |
|
42 |
39 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
93 |
73 |
$0.00 |
| 91300 |
|
210 |
173 |
$0.00 |
| 99072 |
|
12 |
12 |
$0.00 |