| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,415 |
30,682 |
$163K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,192 |
4,155 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,189 |
5,151 |
$41K |
| G9920 |
Screening performed and negative |
3,978 |
3,968 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
800 |
772 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
871 |
840 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,686 |
2,651 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,362 |
2,357 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,299 |
5,288 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,185 |
3,067 |
$13K |
| 92551 |
|
11,715 |
11,652 |
$13K |
| 96156 |
|
1,024 |
961 |
$10K |
| 0001A |
|
239 |
239 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
195 |
193 |
$8K |
| 0002A |
|
146 |
146 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
536 |
536 |
$4K |
| 90658 |
|
4,389 |
4,381 |
$3K |
| 90700 |
|
2,327 |
2,277 |
$3K |
| 90713 |
|
1,810 |
1,769 |
$3K |
| 85018 |
|
15,117 |
14,893 |
$3K |
| 90649 |
|
1,467 |
1,464 |
$3K |
| 90648 |
|
1,301 |
1,256 |
$3K |
| D1206 |
Topical application of fluoride varnish |
1,795 |
1,788 |
$2K |
| 90670 |
|
1,080 |
1,050 |
$2K |
| 90734 |
|
1,417 |
1,416 |
$2K |
| 86580 |
|
8,095 |
8,047 |
$1K |
| 81002 |
|
6,265 |
6,212 |
$1K |
| 90744 |
|
529 |
509 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
231 |
231 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,849 |
1,693 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,200 |
1,184 |
$821.88 |
| 90620 |
|
569 |
569 |
$735.75 |
| 90480 |
|
18 |
18 |
$720.00 |
| 90716 |
|
587 |
572 |
$702.00 |
| 90651 |
|
878 |
872 |
$666.00 |
| 83655 |
|
800 |
799 |
$660.81 |
| 90680 |
|
195 |
187 |
$648.00 |
| 94010 |
|
517 |
517 |
$623.36 |
| 90715 |
|
464 |
464 |
$567.00 |
| 90633 |
|
610 |
598 |
$528.75 |
| 90707 |
|
525 |
517 |
$513.00 |
| 90677 |
|
162 |
162 |
$423.00 |
| 94664 |
|
594 |
592 |
$379.33 |
| 99188 |
|
370 |
352 |
$357.30 |
| 90657 |
|
429 |
428 |
$324.00 |
| 90656 |
|
273 |
267 |
$306.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
28 |
$205.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
281 |
273 |
$151.69 |
| 91320 |
|
12 |
12 |
$131.10 |
| 96127 |
|
259 |
250 |
$14.43 |
| 99173 |
|
1,383 |
1,380 |
$2.28 |
| 99177 |
|
4,812 |
4,802 |
$0.00 |
| 99072 |
|
31 |
29 |
$0.00 |