| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,497 |
27,168 |
$1.85M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,927 |
3,839 |
$267K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,597 |
3,514 |
$243K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,066 |
2,022 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,270 |
1,199 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,357 |
1,339 |
$90K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
6,141 |
5,823 |
$78K |
| 90698 |
|
3,320 |
3,274 |
$65K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,546 |
2,443 |
$65K |
| 90686 |
|
3,338 |
3,293 |
$64K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,525 |
1,503 |
$58K |
| 90670 |
|
2,820 |
2,776 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
523 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,269 |
2,350 |
$51K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,356 |
1,150 |
$47K |
| 90680 |
|
2,255 |
2,216 |
$44K |
| 90744 |
|
1,904 |
1,875 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,832 |
3,696 |
$37K |
| 90633 |
|
1,651 |
1,627 |
$32K |
| 92551 |
|
4,848 |
4,686 |
$28K |
| 90461 |
|
353 |
353 |
$26K |
| 99173 |
|
5,214 |
5,040 |
$23K |
| 90651 |
|
758 |
746 |
$18K |
| D1206 |
Topical application of fluoride varnish |
821 |
799 |
$14K |
| 90677 |
|
491 |
490 |
$10K |
| D0145 |
Oral evaluation for a patient under three years of age |
676 |
655 |
$9K |
| 90672 |
|
396 |
389 |
$7K |
| 90716 |
|
321 |
311 |
$6K |
| 90707 |
|
289 |
281 |
$5K |
| 90656 |
|
231 |
228 |
$5K |
| 90710 |
|
198 |
197 |
$4K |
| 90734 |
|
198 |
193 |
$4K |
| 90619 |
|
185 |
183 |
$4K |
| 90696 |
|
130 |
129 |
$3K |
| 90715 |
|
114 |
110 |
$2K |
| 0071A |
|
34 |
27 |
$1K |
| 0072A |
|
28 |
26 |
$1K |
| 90380 |
|
41 |
38 |
$752.02 |
| 90621 |
|
24 |
24 |
$474.96 |
| 90685 |
|
14 |
14 |
$305.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
32 |
$288.00 |
| 81003 |
|
41 |
41 |
$118.60 |
| 91307 |
|
67 |
54 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |