| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,800 |
2,496 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
492 |
463 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
419 |
395 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
301 |
277 |
$23K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
278 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
230 |
219 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
330 |
305 |
$11K |
| 92551 |
|
816 |
773 |
$11K |
| 99173 |
|
576 |
540 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
301 |
243 |
$8K |
| 3008F |
|
1,076 |
1,019 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
193 |
176 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
331 |
$5K |
| 83655 |
|
375 |
359 |
$5K |
| D1208 |
Topical application of fluoride, excluding varnish |
392 |
384 |
$5K |
| 90686 |
|
332 |
303 |
$4K |
| 99188 |
|
314 |
281 |
$3K |
| 96127 |
|
668 |
628 |
$3K |
| 90677 |
|
149 |
143 |
$2K |
| 90651 |
|
108 |
104 |
$2K |
| 36416 |
|
551 |
517 |
$1K |
| 99000 |
|
394 |
356 |
$1K |
| 87807 |
|
116 |
99 |
$1K |
| 90633 |
|
94 |
83 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
26 |
$1K |
| 90723 |
|
68 |
67 |
$965.40 |
| 85018 |
|
293 |
287 |
$894.75 |
| 90619 |
|
56 |
53 |
$797.40 |
| 80061 |
Lipid panel |
65 |
56 |
$718.48 |
| 90716 |
|
50 |
50 |
$691.35 |
| 90647 |
|
46 |
44 |
$661.35 |
| 90674 |
|
41 |
41 |
$618.00 |
| 90707 |
|
36 |
36 |
$511.35 |
| 88738 |
|
77 |
76 |
$500.02 |
| 90620 |
|
17 |
17 |
$445.32 |
| 81002 |
|
113 |
111 |
$375.60 |
| 90680 |
|
25 |
24 |
$362.70 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
19 |
17 |
$357.65 |
| 90715 |
|
18 |
18 |
$255.00 |
| 82947 |
|
65 |
56 |
$195.23 |
| 90670 |
|
28 |
27 |
$92.68 |
| 82948 |
|
49 |
41 |
$85.02 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
726 |
686 |
$0.00 |
| 90461 |
|
411 |
387 |
$0.00 |