| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,372 |
15,569 |
$920K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,417 |
6,296 |
$562K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,786 |
4,601 |
$438K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,739 |
3,978 |
$353K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,529 |
3,667 |
$308K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,221 |
2,697 |
$264K |
| 96127 |
|
11,194 |
9,179 |
$200K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,751 |
5,560 |
$119K |
| 92587 |
|
5,976 |
4,387 |
$79K |
| 92586 |
|
1,787 |
1,359 |
$71K |
| 90686 |
|
5,778 |
5,023 |
$54K |
| 90670 |
|
3,283 |
2,738 |
$50K |
| D1206 |
Topical application of fluoride varnish |
1,226 |
960 |
$32K |
| 85018 |
|
12,864 |
10,385 |
$29K |
| 90648 |
|
2,932 |
2,408 |
$28K |
| 83655 |
|
2,350 |
1,913 |
$27K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,067 |
995 |
$27K |
| 90651 |
|
1,490 |
1,189 |
$26K |
| 90723 |
|
2,361 |
2,016 |
$23K |
| 90633 |
|
2,136 |
1,646 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
606 |
498 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,036 |
915 |
$16K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,214 |
1,081 |
$15K |
| 90681 |
|
1,377 |
1,202 |
$15K |
| 90734 |
|
1,187 |
945 |
$15K |
| 36416 |
|
3,747 |
3,139 |
$14K |
| 90716 |
|
802 |
674 |
$9K |
| 90677 |
|
179 |
150 |
$8K |
| 90707 |
|
713 |
609 |
$7K |
| 90700 |
|
742 |
565 |
$7K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
100 |
82 |
$5K |
| 90696 |
|
497 |
373 |
$5K |
| 90710 |
|
454 |
335 |
$4K |
| 90715 |
|
504 |
379 |
$4K |
| 90647 |
|
473 |
405 |
$4K |
| 99383 |
|
40 |
24 |
$4K |
| 99381 |
|
37 |
37 |
$3K |
| 96160 |
|
212 |
157 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
88 |
75 |
$3K |
| 99382 |
|
22 |
13 |
$2K |
| 90688 |
|
111 |
110 |
$2K |
| 99460 |
|
37 |
32 |
$2K |
| 99384 |
|
13 |
13 |
$1K |
| 0081A |
|
23 |
17 |
$961.40 |
| 87807 |
|
89 |
77 |
$794.74 |
| 0124A |
|
18 |
15 |
$752.40 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
16 |
15 |
$676.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
17 |
$413.25 |
| 90698 |
|
16 |
13 |
$267.36 |
| 90713 |
|
14 |
12 |
$225.64 |
| 81002 |
|
53 |
40 |
$137.80 |
| 90744 |
|
15 |
15 |
$122.14 |
| 91307 |
|
28 |
24 |
$0.03 |
| 91308 |
|
20 |
18 |
$0.02 |
| 96161 |
|
237 |
203 |
$0.00 |
| 97802 |
|
27 |
27 |
$0.00 |
| 90461 |
|
995 |
816 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,539 |
1,895 |
$0.00 |