| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,095 |
4,484 |
$253K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,648 |
2,573 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,380 |
2,254 |
$176K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,853 |
1,656 |
$141K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,381 |
1,256 |
$105K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,246 |
2,992 |
$81K |
| 92551 |
|
5,254 |
4,886 |
$79K |
| 92015 |
Determination of refractive state |
2,303 |
2,085 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,338 |
2,070 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
557 |
486 |
$38K |
| 90686 |
|
2,558 |
2,404 |
$26K |
| 85018 |
|
6,411 |
6,033 |
$15K |
| 96127 |
|
992 |
969 |
$14K |
| D1206 |
Topical application of fluoride varnish |
529 |
441 |
$14K |
| 90620 |
|
608 |
513 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
284 |
283 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
196 |
195 |
$8K |
| 90651 |
|
410 |
370 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
1,597 |
1,372 |
$7K |
| 90734 |
|
492 |
448 |
$6K |
| 92587 |
|
451 |
414 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
260 |
253 |
$4K |
| 86580 |
|
591 |
495 |
$3K |
| 90670 |
|
210 |
207 |
$2K |
| 90685 |
|
142 |
139 |
$908.80 |
| 90715 |
|
33 |
24 |
$431.46 |
| 90698 |
|
28 |
28 |
$313.23 |
| S9451 |
Exercise classes, non-physician provider, per session |
121 |
107 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
54 |
49 |
$0.00 |