| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,229 |
10,840 |
$636K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,769 |
5,060 |
$472K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,062 |
3,206 |
$307K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,004 |
2,313 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,462 |
1,972 |
$179K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,607 |
1,413 |
$128K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,480 |
6,492 |
$120K |
| 96127 |
|
2,502 |
2,247 |
$36K |
| 99173 |
|
4,401 |
3,837 |
$33K |
| 90670 |
|
2,448 |
1,938 |
$30K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
686 |
643 |
$28K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
929 |
808 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,297 |
1,176 |
$21K |
| 90633 |
|
1,790 |
1,407 |
$20K |
| 90680 |
|
1,700 |
1,303 |
$20K |
| 90698 |
|
1,605 |
1,270 |
$20K |
| 90734 |
|
933 |
725 |
$11K |
| 99381 |
|
118 |
103 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
513 |
245 |
$10K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
195 |
178 |
$10K |
| 90677 |
|
351 |
287 |
$10K |
| 90744 |
|
604 |
510 |
$8K |
| 90715 |
|
587 |
488 |
$7K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
293 |
286 |
$7K |
| 90686 |
|
728 |
631 |
$7K |
| 90710 |
|
499 |
379 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
386 |
315 |
$5K |
| 90696 |
|
384 |
285 |
$5K |
| 90648 |
|
491 |
372 |
$4K |
| 90716 |
|
224 |
179 |
$3K |
| 99383 |
|
23 |
17 |
$2K |
| 90707 |
|
196 |
145 |
$2K |
| 99382 |
|
19 |
13 |
$2K |
| 90700 |
|
118 |
100 |
$1K |
| 90723 |
|
94 |
66 |
$1K |
| 87428 |
|
19 |
18 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
17 |
17 |
$1K |
| 90649 |
|
31 |
26 |
$1K |
| 90672 |
|
57 |
57 |
$952.47 |
| 90685 |
|
119 |
106 |
$783.41 |
| 83655 |
|
60 |
53 |
$699.74 |
| 90660 |
|
35 |
35 |
$591.93 |
| 90651 |
|
75 |
72 |
$473.60 |
| D1206 |
Topical application of fluoride varnish |
17 |
14 |
$448.40 |
| 90688 |
|
43 |
37 |
$403.76 |
| 99401 |
|
14 |
14 |
$270.00 |
| 96160 |
|
13 |
12 |
$189.80 |
| 86580 |
|
31 |
13 |
$139.86 |
| 90655 |
|
30 |
30 |
$6.40 |
| 3008F |
|
21 |
20 |
$0.00 |