| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,995 |
2,444 |
$235K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
715 |
615 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
630 |
602 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
649 |
558 |
$61K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
486 |
467 |
$52K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
349 |
321 |
$39K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
810 |
644 |
$33K |
| 90686 |
|
854 |
789 |
$18K |
| 90677 |
|
144 |
136 |
$17K |
| 92551 |
|
1,649 |
1,532 |
$15K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
233 |
177 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
199 |
169 |
$10K |
| D1206 |
Topical application of fluoride varnish |
364 |
357 |
$9K |
| 90648 |
|
419 |
380 |
$9K |
| 90670 |
|
258 |
238 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
506 |
428 |
$6K |
| 99174 |
|
933 |
868 |
$5K |
| 90656 |
|
189 |
186 |
$4K |
| 96127 |
|
611 |
543 |
$4K |
| 90723 |
|
152 |
140 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,015 |
936 |
$3K |
| 90680 |
|
86 |
81 |
$2K |
| 90633 |
|
73 |
70 |
$2K |
| 90710 |
|
58 |
55 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99173 |
|
507 |
464 |
$1K |
| 96161 |
|
277 |
259 |
$950.23 |
| 90734 |
|
44 |
34 |
$791.52 |
| 90651 |
|
37 |
31 |
$675.11 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
48 |
$633.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
15 |
$587.99 |
| 90715 |
|
30 |
27 |
$582.00 |
| 87807 |
|
60 |
42 |
$476.44 |
| 90461 |
|
259 |
238 |
$156.05 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
32 |
$64.53 |
| 94760 |
|
130 |
96 |
$41.60 |
| 99000 |
|
97 |
72 |
$28.50 |