| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,333 |
11,529 |
$1.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,431 |
2,153 |
$239K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,280 |
2,035 |
$225K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,951 |
1,567 |
$173K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,262 |
1,145 |
$136K |
| D1206 |
Topical application of fluoride varnish |
5,315 |
3,499 |
$67K |
| 90686 |
|
3,171 |
2,742 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,108 |
4,337 |
$55K |
| 96127 |
|
6,907 |
4,785 |
$45K |
| 92552 |
|
1,864 |
1,691 |
$44K |
| 99050 |
|
4,210 |
3,529 |
$42K |
| 90648 |
|
1,679 |
1,418 |
$33K |
| 90670 |
|
1,550 |
1,301 |
$32K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
295 |
256 |
$28K |
| 90723 |
|
1,254 |
1,046 |
$25K |
| 90633 |
|
1,073 |
923 |
$22K |
| 90680 |
|
931 |
774 |
$19K |
| 92551 |
|
2,153 |
1,887 |
$18K |
| 90710 |
|
774 |
702 |
$17K |
| 90651 |
|
709 |
616 |
$16K |
| 97803 |
|
4,892 |
4,163 |
$13K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
752 |
645 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
99 |
87 |
$10K |
| 99173 |
|
4,047 |
3,595 |
$9K |
| 90734 |
|
388 |
329 |
$9K |
| 90715 |
|
232 |
211 |
$5K |
| 90620 |
|
206 |
169 |
$4K |
| 97802 |
|
1,066 |
877 |
$4K |
| 90619 |
|
164 |
155 |
$3K |
| 99381 |
|
32 |
27 |
$3K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
152 |
122 |
$3K |
| 90677 |
|
140 |
126 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
14 |
$3K |
| 90696 |
|
108 |
96 |
$2K |
| 90700 |
|
78 |
72 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99051 |
|
89 |
85 |
$788.52 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
56 |
49 |
$611.13 |
| 90716 |
|
26 |
25 |
$605.28 |
| 96161 |
|
119 |
71 |
$368.28 |
| 90707 |
|
13 |
12 |
$302.64 |
| 94150 |
|
16 |
15 |
$284.54 |
| 2015F |
|
14 |
12 |
$220.00 |
| 99072 |
|
908 |
785 |
$57.00 |