| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28,696 |
23,477 |
$1.79M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,936 |
2,928 |
$265K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,172 |
3,167 |
$261K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,235 |
10,054 |
$228K |
| 99401 |
|
6,375 |
6,247 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,127 |
2,123 |
$175K |
| 99442 |
|
2,180 |
2,101 |
$130K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
770 |
767 |
$58K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
595 |
589 |
$54K |
| 90461 |
|
1,300 |
1,288 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,031 |
1,396 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
635 |
619 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
271 |
271 |
$23K |
| 92551 |
|
2,860 |
2,858 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,092 |
2,035 |
$20K |
| D1206 |
Topical application of fluoride varnish |
801 |
800 |
$18K |
| 90621 |
|
204 |
204 |
$16K |
| 36410 |
|
1,137 |
1,106 |
$11K |
| 90686 |
|
4,402 |
4,381 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
482 |
469 |
$8K |
| 87110 |
|
560 |
557 |
$7K |
| 99173 |
|
2,632 |
2,629 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
3,011 |
3,005 |
$4K |
| 99188 |
|
218 |
218 |
$3K |
| 86580 |
|
417 |
415 |
$3K |
| 90715 |
|
174 |
172 |
$2K |
| 36406 |
|
200 |
184 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
451 |
451 |
$1K |
| 99383 |
|
14 |
14 |
$1K |
| 17110 |
|
13 |
13 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
41 |
41 |
$839.95 |
| 94664 |
|
54 |
54 |
$722.54 |
| 90651 |
|
512 |
511 |
$710.01 |
| 90473 |
|
51 |
51 |
$641.22 |
| 83014 |
|
95 |
93 |
$585.93 |
| 81002 |
|
109 |
106 |
$277.09 |
| 92587 |
|
12 |
12 |
$269.79 |
| 99422 |
|
15 |
14 |
$170.80 |
| 90707 |
|
160 |
160 |
$91.28 |
| 85018 |
|
25 |
25 |
$43.35 |
| 90685 |
|
354 |
351 |
$35.79 |
| 90658 |
|
14 |
14 |
$0.14 |
| 90671 |
|
27 |
27 |
$0.10 |
| 86480 |
|
13 |
13 |
$0.10 |
| 90619 |
|
128 |
128 |
$0.04 |
| 90670 |
|
464 |
463 |
$0.03 |
| 90680 |
|
172 |
172 |
$0.00 |
| 90744 |
|
49 |
49 |
$0.00 |
| 90698 |
|
151 |
151 |
$0.00 |
| 90716 |
|
190 |
190 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
297 |
296 |
$0.00 |
| 90734 |
|
548 |
547 |
$0.00 |
| 90672 |
|
44 |
44 |
$0.00 |
| 90633 |
|
251 |
251 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |