| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,448 |
10,981 |
$823K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,113 |
4,362 |
$480K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,633 |
4,231 |
$387K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,133 |
7,999 |
$383K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,363 |
2,158 |
$218K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
674 |
605 |
$31K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,018 |
951 |
$30K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,431 |
1,347 |
$25K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
589 |
549 |
$24K |
| 90670 |
|
1,261 |
1,187 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
167 |
141 |
$15K |
| 90686 |
|
3,604 |
3,312 |
$11K |
| 0071A |
|
304 |
158 |
$10K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
847 |
814 |
$9K |
| 99173 |
|
1,404 |
1,240 |
$9K |
| 92583 |
|
448 |
392 |
$8K |
| 0072A |
|
188 |
110 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
242 |
213 |
$4K |
| D1206 |
Topical application of fluoride varnish |
183 |
147 |
$2K |
| 90677 |
|
244 |
242 |
$2K |
| 99177 |
|
197 |
184 |
$2K |
| 90480 |
|
31 |
28 |
$2K |
| 90697 |
|
271 |
266 |
$2K |
| 96127 |
|
104 |
86 |
$2K |
| 90656 |
|
474 |
466 |
$1K |
| 36416 |
|
1,183 |
971 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
17 |
13 |
$1K |
| 90723 |
|
97 |
91 |
$946.82 |
| 90685 |
|
288 |
262 |
$867.29 |
| 99174 |
|
66 |
56 |
$825.15 |
| 99460 |
|
18 |
14 |
$787.05 |
| 90647 |
|
258 |
239 |
$753.14 |
| 90681 |
|
73 |
69 |
$748.78 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$707.06 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
14 |
$512.96 |
| 99401 |
|
22 |
19 |
$485.59 |
| 92552 |
|
40 |
36 |
$439.96 |
| 90461 |
|
22 |
13 |
$435.10 |
| 83655 |
|
22 |
13 |
$206.60 |
| 99072 |
|
559 |
517 |
$87.50 |
| 88720 |
|
14 |
13 |
$69.64 |
| 99000 |
|
208 |
183 |
$63.88 |
| 90633 |
|
15 |
12 |
$39.32 |
| 91307 |
|
669 |
374 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 90671 |
|
43 |
39 |
$0.00 |
| 91300 |
|
16 |
14 |
$0.00 |