| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,669 |
3,154 |
$417K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,224 |
2,768 |
$259K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,261 |
1,129 |
$128K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,229 |
1,040 |
$113K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,030 |
983 |
$107K |
| 99215 |
Prolong outpt/office vis |
492 |
415 |
$73K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
575 |
543 |
$64K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
726 |
659 |
$30K |
| 90686 |
|
1,473 |
1,365 |
$29K |
| 92552 |
|
1,123 |
1,054 |
$27K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
886 |
803 |
$19K |
| 90670 |
|
665 |
611 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,348 |
1,000 |
$12K |
| 90698 |
|
387 |
365 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
632 |
575 |
$8K |
| 90680 |
|
368 |
335 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
575 |
330 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
280 |
$7K |
| D1206 |
Topical application of fluoride varnish |
262 |
256 |
$6K |
| 90697 |
|
302 |
270 |
$6K |
| 96127 |
|
1,246 |
1,164 |
$6K |
| 87428 |
|
215 |
190 |
$5K |
| W7000 |
|
1,072 |
1,023 |
$5K |
| 90633 |
|
187 |
165 |
$4K |
| 0072A |
|
91 |
88 |
$3K |
| 90677 |
|
140 |
117 |
$3K |
| 99173 |
|
1,315 |
1,236 |
$3K |
| 0071A |
|
75 |
71 |
$3K |
| 87081 |
|
436 |
413 |
$3K |
| 90744 |
|
73 |
65 |
$1K |
| 85018 |
|
666 |
598 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
21 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
12 |
$1K |
| 90734 |
|
55 |
55 |
$1K |
| 90651 |
|
56 |
53 |
$1K |
| 96161 |
|
480 |
424 |
$1K |
| 87807 |
|
93 |
87 |
$964.70 |
| 87400 |
|
90 |
83 |
$942.58 |
| 90715 |
|
29 |
29 |
$651.84 |
| 87420 |
|
37 |
33 |
$301.13 |
| 92558 |
|
140 |
135 |
$264.00 |
| 99050 |
|
20 |
15 |
$240.90 |
| 0001A |
|
16 |
16 |
$240.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
12 |
$19.50 |
| 36416 |
|
412 |
330 |
$1.50 |
| 99000 |
|
15 |
14 |
$0.00 |
| 90461 |
|
21 |
15 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
103 |
67 |
$0.00 |
| 99072 |
|
54 |
52 |
$0.00 |