| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,381 |
2,978 |
$150K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,572 |
1,338 |
$105K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,234 |
1,005 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
637 |
572 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,745 |
2,375 |
$44K |
| 96127 |
|
2,228 |
1,908 |
$32K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
423 |
373 |
$30K |
| D1206 |
Topical application of fluoride varnish |
733 |
592 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
141 |
$13K |
| 90670 |
|
1,029 |
848 |
$10K |
| 90680 |
|
655 |
529 |
$7K |
| 90686 |
|
652 |
566 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
190 |
153 |
$5K |
| 87428 |
|
90 |
83 |
$5K |
| 90648 |
|
623 |
533 |
$4K |
| 83655 |
|
331 |
294 |
$4K |
| 90697 |
|
254 |
209 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
196 |
180 |
$3K |
| 90723 |
|
420 |
363 |
$3K |
| 90671 |
|
126 |
110 |
$2K |
| 90633 |
|
242 |
199 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
121 |
117 |
$2K |
| 85018 |
|
597 |
522 |
$1K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
24 |
17 |
$1K |
| 81002 |
|
515 |
433 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
76 |
67 |
$905.20 |
| 90710 |
|
95 |
80 |
$803.89 |
| 99460 |
|
12 |
12 |
$693.24 |
| 99000 |
|
23 |
22 |
$539.58 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
12 |
12 |
$524.76 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$516.15 |
| 90651 |
|
27 |
24 |
$463.59 |
| 90734 |
|
41 |
31 |
$393.15 |
| 80061 |
Lipid panel |
43 |
26 |
$299.25 |
| 92551 |
|
18 |
17 |
$282.72 |
| 87807 |
|
25 |
20 |
$251.50 |
| 90700 |
|
17 |
14 |
$195.04 |
| 90698 |
|
27 |
25 |
$166.40 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
12 |
$161.08 |
| 99173 |
|
15 |
15 |
$114.75 |
| 90461 |
|
15 |
15 |
$98.62 |
| 99072 |
|
18 |
18 |
$0.00 |