| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54,342 |
49,035 |
$2.23M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
27,909 |
20,408 |
$725K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,712 |
8,966 |
$593K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,064 |
5,745 |
$342K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,974 |
4,554 |
$245K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,543 |
3,418 |
$196K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,082 |
2,021 |
$129K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,939 |
1,670 |
$36K |
| 96127 |
|
6,712 |
6,251 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
899 |
847 |
$22K |
| 87428 |
|
469 |
389 |
$16K |
| 99188 |
|
901 |
844 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,099 |
584 |
$13K |
| D1206 |
Topical application of fluoride varnish |
936 |
893 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,193 |
1,099 |
$12K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
243 |
222 |
$10K |
| 36416 |
|
4,540 |
4,304 |
$9K |
| 85018 |
|
4,455 |
4,226 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
607 |
562 |
$7K |
| 92557 |
|
214 |
201 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
303 |
$6K |
| 99215 |
Prolong outpt/office vis |
75 |
61 |
$6K |
| 92552 |
|
514 |
496 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
47 |
47 |
$4K |
| 99177 |
|
336 |
325 |
$3K |
| 81025 |
|
490 |
451 |
$3K |
| 92551 |
|
492 |
458 |
$3K |
| 90847 |
Family psychotherapy with the patient present, 50 minutes |
37 |
25 |
$2K |
| 99174 |
|
283 |
259 |
$2K |
| 90671 |
|
325 |
294 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
131 |
128 |
$1K |
| 90686 |
|
3,454 |
3,296 |
$1K |
| 99173 |
|
584 |
555 |
$1K |
| 99381 |
|
13 |
13 |
$861.30 |
| 99383 |
|
13 |
13 |
$851.73 |
| 96161 |
|
407 |
364 |
$805.92 |
| 90670 |
|
2,261 |
2,122 |
$563.35 |
| 90633 |
|
451 |
410 |
$374.70 |
| 90648 |
|
506 |
472 |
$181.50 |
| D1208 |
Topical application of fluoride, excluding varnish |
12 |
12 |
$141.75 |
| 90698 |
|
914 |
851 |
$101.92 |
| 90723 |
|
191 |
179 |
$71.50 |
| 90680 |
|
516 |
475 |
$60.43 |
| 90685 |
|
28 |
26 |
$25.75 |
| 90656 |
|
471 |
464 |
$23.47 |
| 96160 |
|
13 |
13 |
$21.60 |
| 90744 |
|
180 |
161 |
$20.00 |
| 90734 |
|
131 |
127 |
$0.00 |
| 90710 |
|
43 |
38 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| 90672 |
|
26 |
26 |
$0.00 |
| 90697 |
|
117 |
107 |
$0.00 |
| 90651 |
|
96 |
96 |
$0.00 |
| 90677 |
|
110 |
104 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90647 |
|
16 |
12 |
$0.00 |