| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,085 |
5,931 |
$583K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,557 |
3,785 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,027 |
988 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,684 |
2,521 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
324 |
299 |
$35K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
389 |
383 |
$32K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
326 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,502 |
998 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,474 |
1,364 |
$18K |
| 99401 |
|
1,043 |
908 |
$14K |
| 92551 |
|
1,660 |
1,597 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,623 |
1,597 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
595 |
450 |
$10K |
| D0145 |
Oral evaluation for a patient under three years of age |
295 |
285 |
$8K |
| D1206 |
Topical application of fluoride varnish |
288 |
280 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
58 |
57 |
$5K |
| 86308 |
|
1,147 |
1,066 |
$5K |
| 99173 |
|
1,832 |
1,768 |
$4K |
| 85018 |
|
2,769 |
2,664 |
$4K |
| 85014 |
|
2,483 |
2,396 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
79 |
77 |
$3K |
| 96160 |
|
409 |
399 |
$809.41 |
| 87807 |
|
41 |
39 |
$426.52 |
| 69210 |
|
29 |
12 |
$405.48 |
| 83655 |
|
45 |
41 |
$302.46 |
| 96161 |
|
211 |
207 |
$280.59 |
| 90670 |
|
448 |
433 |
$195.00 |
| 90647 |
|
236 |
230 |
$44.86 |
| 90461 |
|
33 |
31 |
$19.00 |
| 90633 |
|
254 |
241 |
$17.60 |
| 90700 |
|
24 |
24 |
$0.00 |
| 90685 |
|
50 |
44 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 36416 |
|
843 |
821 |
$0.00 |
| 3008F |
|
443 |
441 |
$0.00 |
| 90686 |
|
550 |
519 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 90680 |
|
102 |
97 |
$0.00 |
| 90651 |
|
40 |
37 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |