| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,111 |
4,450 |
$249K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,533 |
2,350 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,418 |
2,225 |
$191K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,777 |
1,623 |
$133K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,225 |
3,980 |
$107K |
| 92551 |
|
4,709 |
4,319 |
$71K |
| 92015 |
Determination of refractive state |
3,445 |
3,126 |
$61K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
675 |
573 |
$51K |
| 90686 |
|
3,776 |
3,557 |
$48K |
| 96127 |
|
1,990 |
1,829 |
$29K |
| 96160 |
|
1,378 |
1,249 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,077 |
870 |
$18K |
| 90620 |
|
898 |
826 |
$15K |
| 0124A |
|
346 |
318 |
$15K |
| 90651 |
|
675 |
598 |
$14K |
| 86580 |
|
2,723 |
2,369 |
$14K |
| 85018 |
|
5,744 |
5,130 |
$13K |
| 83655 |
|
1,117 |
904 |
$13K |
| 81002 |
|
4,672 |
4,138 |
$12K |
| 90734 |
|
580 |
509 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
119 |
105 |
$8K |
| 0003A |
|
188 |
183 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
192 |
187 |
$8K |
| 0072A |
|
161 |
161 |
$7K |
| 0154A |
|
146 |
136 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
198 |
195 |
$6K |
| 0071A |
|
143 |
143 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,267 |
1,028 |
$5K |
| 92587 |
|
340 |
267 |
$4K |
| 91320 |
|
140 |
135 |
$4K |
| 0001A |
|
98 |
98 |
$4K |
| 90685 |
|
273 |
256 |
$4K |
| 0002A |
|
79 |
79 |
$3K |
| 0073A |
|
76 |
75 |
$3K |
| 0053A |
|
64 |
62 |
$3K |
| D1206 |
Topical application of fluoride varnish |
105 |
89 |
$2K |
| 90672 |
|
123 |
123 |
$2K |
| 91319 |
|
50 |
50 |
$2K |
| 0121A |
|
37 |
37 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
16 |
13 |
$1K |
| 0081A |
|
26 |
26 |
$1K |
| 90670 |
|
78 |
64 |
$767.23 |
| 91304 |
|
27 |
27 |
$451.17 |
| 90700 |
|
25 |
25 |
$419.43 |
| 90715 |
|
19 |
14 |
$301.73 |
| 90656 |
|
19 |
18 |
$284.07 |
| 90633 |
|
19 |
15 |
$239.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
12 |
$219.80 |
| 91300 |
|
202 |
194 |
$0.28 |
| 91312 |
|
148 |
141 |
$0.05 |
| 91307 |
|
242 |
222 |
$0.05 |
| 91305 |
|
22 |
22 |
$0.03 |
| 91308 |
|
19 |
18 |
$0.02 |
| 91317 |
|
12 |
12 |
$0.02 |
| 91315 |
|
88 |
82 |
$0.01 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
15 |
$0.00 |