| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,873 |
17,200 |
$954K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,412 |
3,790 |
$323K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,014 |
3,372 |
$305K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,752 |
3,058 |
$287K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,194 |
2,770 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,972 |
2,424 |
$204K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,790 |
5,719 |
$108K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,099 |
3,751 |
$101K |
| 92015 |
Determination of refractive state |
4,305 |
3,850 |
$76K |
| 92587 |
|
4,055 |
3,205 |
$59K |
| 90670 |
|
1,917 |
1,617 |
$40K |
| 83655 |
|
3,018 |
2,449 |
$34K |
| 90686 |
|
2,602 |
2,270 |
$29K |
| 36415 |
Collection of venous blood by venipuncture |
6,256 |
5,152 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
678 |
647 |
$23K |
| 90734 |
|
1,182 |
984 |
$19K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
423 |
407 |
$19K |
| 90700 |
|
1,684 |
1,386 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
315 |
296 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,038 |
976 |
$15K |
| 90647 |
|
1,460 |
1,220 |
$15K |
| 90680 |
|
1,336 |
1,114 |
$15K |
| 90651 |
|
618 |
505 |
$15K |
| 90716 |
|
783 |
625 |
$12K |
| 90633 |
|
1,199 |
956 |
$12K |
| 0002A |
|
273 |
259 |
$11K |
| 88738 |
|
2,529 |
1,924 |
$11K |
| 90677 |
|
264 |
229 |
$10K |
| 0001A |
|
222 |
208 |
$9K |
| 90707 |
|
791 |
624 |
$9K |
| 90715 |
|
626 |
502 |
$9K |
| 90713 |
|
887 |
704 |
$8K |
| 90744 |
|
761 |
653 |
$8K |
| 0071A |
|
167 |
155 |
$7K |
| 90658 |
|
833 |
679 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
265 |
249 |
$7K |
| 99460 |
|
134 |
119 |
$7K |
| 0072A |
|
158 |
155 |
$7K |
| 0003A |
|
147 |
129 |
$6K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
41 |
41 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
60 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
121 |
108 |
$5K |
| 86580 |
|
946 |
770 |
$4K |
| D1206 |
Topical application of fluoride varnish |
166 |
136 |
$4K |
| 85018 |
|
1,681 |
1,455 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
39 |
29 |
$3K |
| 90621 |
|
105 |
83 |
$3K |
| 0012A |
|
56 |
56 |
$2K |
| 99381 |
|
27 |
26 |
$2K |
| 81002 |
|
749 |
632 |
$2K |
| 91300 |
|
262 |
239 |
$2K |
| 90672 |
|
217 |
185 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
47 |
44 |
$1K |
| 0011A |
|
45 |
41 |
$1K |
| 99422 |
|
49 |
48 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 90723 |
|
90 |
79 |
$1K |
| 90685 |
|
140 |
107 |
$1K |
| 90620 |
|
60 |
51 |
$923.40 |
| 90698 |
|
82 |
63 |
$896.56 |
| 90671 |
|
21 |
17 |
$776.47 |
| 93000 |
|
34 |
29 |
$753.10 |
| 86769 |
|
17 |
15 |
$716.21 |
| 94664 |
|
49 |
25 |
$714.40 |
| 91301 |
|
78 |
69 |
$595.39 |
| 0013A |
|
13 |
12 |
$505.68 |
| 99421 |
|
26 |
24 |
$316.56 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
18 |
13 |
$232.00 |
| 90657 |
|
47 |
44 |
$180.50 |
| 90710 |
|
13 |
13 |
$163.28 |
| 86308 |
|
23 |
23 |
$108.00 |
| 91307 |
|
155 |
140 |
$45.29 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
173 |
118 |
$0.00 |