| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,360 |
2,021 |
$111K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,339 |
1,114 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,119 |
945 |
$83K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,055 |
904 |
$80K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
347 |
280 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
374 |
342 |
$26K |
| 96127 |
|
1,176 |
995 |
$22K |
| 92551 |
|
1,197 |
1,066 |
$18K |
| 90686 |
|
1,133 |
1,004 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
188 |
98 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
459 |
393 |
$9K |
| D1206 |
Topical application of fluoride varnish |
250 |
226 |
$6K |
| 90670 |
|
291 |
271 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
226 |
211 |
$4K |
| 99000 |
|
254 |
204 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
34 |
32 |
$2K |
| 92587 |
|
149 |
131 |
$2K |
| 99051 |
|
626 |
549 |
$2K |
| 83655 |
|
161 |
127 |
$2K |
| 36416 |
|
441 |
358 |
$2K |
| 90648 |
|
232 |
215 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
32 |
27 |
$1K |
| 0071A |
|
25 |
18 |
$1K |
| 90685 |
|
105 |
90 |
$823.08 |
| 90680 |
|
63 |
53 |
$815.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
22 |
16 |
$564.30 |
| 85018 |
|
217 |
178 |
$501.12 |
| 90723 |
|
73 |
67 |
$467.20 |
| 90707 |
|
24 |
23 |
$384.08 |
| 90633 |
|
30 |
30 |
$288.09 |
| 90672 |
|
29 |
26 |
$219.68 |
| 90716 |
|
15 |
12 |
$123.20 |
| 90734 |
|
16 |
14 |
$102.40 |
| 90651 |
|
16 |
16 |
$102.40 |
| 99177 |
|
801 |
684 |
$56.00 |
| 1003F |
|
1,476 |
1,153 |
$0.00 |
| 90461 |
|
973 |
775 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,142 |
2,122 |
$0.00 |
| 99072 |
|
310 |
267 |
$0.00 |
| 1036F |
|
332 |
243 |
$0.00 |
| 94760 |
|
387 |
301 |
$0.00 |
| 1220F |
|
176 |
111 |
$0.00 |