| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,839 |
3,246 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,839 |
1,561 |
$141K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,879 |
1,534 |
$129K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,001 |
912 |
$76K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
722 |
674 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
591 |
535 |
$50K |
| 96127 |
|
1,409 |
1,179 |
$22K |
| 90686 |
|
1,907 |
1,657 |
$21K |
| 90670 |
|
998 |
871 |
$14K |
| 90677 |
|
193 |
176 |
$13K |
| 90698 |
|
800 |
716 |
$9K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
149 |
145 |
$8K |
| D1206 |
Topical application of fluoride varnish |
218 |
191 |
$6K |
| 90651 |
|
197 |
156 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
255 |
216 |
$5K |
| 90680 |
|
279 |
253 |
$3K |
| 0071A |
|
75 |
74 |
$3K |
| 90661 |
|
136 |
135 |
$2K |
| 90633 |
|
187 |
169 |
$2K |
| 90648 |
|
248 |
191 |
$2K |
| 90656 |
|
112 |
110 |
$2K |
| 0072A |
|
39 |
39 |
$2K |
| 90744 |
|
142 |
133 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
111 |
$2K |
| 90723 |
|
129 |
101 |
$1K |
| 90734 |
|
69 |
55 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 90619 |
|
67 |
59 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
12 |
$732.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
35 |
$549.50 |
| 90381 |
|
13 |
12 |
$218.23 |
| 90715 |
|
12 |
12 |
$200.52 |
| 90681 |
|
29 |
29 |
$185.60 |
| 94760 |
|
95 |
72 |
$101.20 |
| 85018 |
|
24 |
16 |
$55.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
94 |
86 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
27 |
24 |
$0.00 |