| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,475 |
5,431 |
$314K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,017 |
1,697 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,639 |
1,297 |
$124K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,664 |
1,477 |
$121K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
941 |
735 |
$65K |
| 96127 |
|
2,293 |
2,003 |
$33K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,287 |
1,091 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,452 |
1,177 |
$23K |
| D1206 |
Topical application of fluoride varnish |
884 |
671 |
$23K |
| 99173 |
|
2,650 |
2,187 |
$19K |
| 90686 |
|
1,918 |
1,703 |
$16K |
| 90670 |
|
767 |
640 |
$12K |
| 90651 |
|
541 |
434 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
613 |
531 |
$10K |
| 90734 |
|
605 |
468 |
$9K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
570 |
516 |
$7K |
| 90620 |
|
572 |
463 |
$6K |
| 90633 |
|
600 |
490 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
168 |
164 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
109 |
101 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
40 |
$3K |
| 90698 |
|
307 |
240 |
$2K |
| 90716 |
|
228 |
165 |
$2K |
| 90707 |
|
204 |
142 |
$2K |
| 90715 |
|
116 |
79 |
$1K |
| 90656 |
|
68 |
67 |
$1K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
396 |
378 |
$759.20 |
| 90744 |
|
106 |
98 |
$691.74 |
| 90696 |
|
61 |
29 |
$660.21 |
| 86580 |
|
85 |
51 |
$418.96 |
| 90685 |
|
21 |
14 |
$263.67 |
| 90681 |
|
38 |
36 |
$230.40 |
| 90688 |
|
17 |
17 |
$108.80 |
| 90700 |
|
14 |
14 |
$89.60 |
| 90648 |
|
12 |
12 |
$76.80 |
| 1003F |
|
2,605 |
2,228 |
$0.00 |
| 4274F |
|
204 |
188 |
$0.00 |
| 1160F |
|
7,092 |
5,596 |
$0.00 |
| 1159F |
|
7,092 |
5,596 |
$0.00 |
| 3078F |
|
2,481 |
2,163 |
$0.00 |
| 4120F |
|
177 |
158 |
$0.00 |
| 3210F |
|
153 |
123 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
367 |
330 |
$0.00 |
| 3074F |
|
2,486 |
2,167 |
$0.00 |
| 1220F |
|
995 |
854 |
$0.00 |
| 1036F |
|
1,536 |
1,318 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
510 |
482 |
$0.00 |
| 97802 |
|
175 |
164 |
$0.00 |