| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,968 |
12,718 |
$1.24M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,566 |
3,394 |
$378K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,615 |
3,300 |
$372K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,857 |
2,752 |
$332K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,899 |
2,605 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,305 |
1,192 |
$162K |
| D1206 |
Topical application of fluoride varnish |
2,534 |
2,520 |
$63K |
| 90648 |
|
2,755 |
2,492 |
$59K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
552 |
454 |
$53K |
| 90688 |
|
2,340 |
2,188 |
$51K |
| 90670 |
|
2,264 |
2,048 |
$49K |
| 90723 |
|
2,009 |
1,817 |
$43K |
| 90680 |
|
1,794 |
1,613 |
$39K |
| 90651 |
|
1,615 |
1,529 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,798 |
2,373 |
$34K |
| 90633 |
|
1,461 |
1,327 |
$32K |
| 90716 |
|
1,417 |
1,292 |
$31K |
| 90707 |
|
1,411 |
1,285 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
538 |
448 |
$27K |
| 90734 |
|
1,192 |
1,157 |
$27K |
| 90677 |
|
406 |
368 |
$26K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
214 |
196 |
$23K |
| 90620 |
|
893 |
842 |
$20K |
| 90686 |
|
843 |
825 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,651 |
531 |
$17K |
| 90715 |
|
630 |
613 |
$14K |
| 90696 |
|
461 |
419 |
$10K |
| 90700 |
|
435 |
403 |
$10K |
| 90672 |
|
229 |
221 |
$5K |
| 99383 |
|
13 |
13 |
$2K |
| 90671 |
|
27 |
25 |
$582.00 |
| 99177 |
|
111 |
111 |
$558.70 |
| 90713 |
|
18 |
16 |
$395.76 |
| 90744 |
|
15 |
15 |
$349.20 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
27 |
$65.49 |
| 99422 |
|
15 |
14 |
$0.00 |