| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,904 |
5,785 |
$442K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,997 |
4,911 |
$395K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
35,307 |
32,760 |
$294K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,435 |
3,332 |
$289K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,852 |
3,756 |
$287K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,433 |
9,129 |
$209K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,775 |
4,609 |
$93K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,170 |
1,151 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,682 |
4,004 |
$44K |
| 87428 |
|
656 |
617 |
$25K |
| 99429 |
|
761 |
751 |
$23K |
| 90461 |
|
5,866 |
5,029 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,802 |
1,697 |
$14K |
| 83655 |
|
754 |
744 |
$7K |
| 96161 |
|
4,530 |
4,446 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,832 |
1,770 |
$5K |
| 99381 |
|
61 |
61 |
$4K |
| 99051 |
|
793 |
767 |
$3K |
| 0071A |
|
51 |
51 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
27 |
24 |
$2K |
| 0072A |
|
47 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
830 |
411 |
$2K |
| 99000 |
|
991 |
889 |
$618.95 |
| 80061 |
Lipid panel |
232 |
220 |
$433.95 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
230 |
222 |
$341.64 |
| 92552 |
|
4,654 |
4,577 |
$194.88 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
12 |
12 |
$173.16 |
| 82947 |
|
230 |
223 |
$171.20 |
| 81003 |
|
97 |
96 |
$35.91 |
| 85018 |
|
41 |
41 |
$0.18 |
| 85014 |
|
41 |
41 |
$0.18 |
| 90677 |
|
616 |
589 |
$0.10 |
| 90686 |
|
1,593 |
1,581 |
$0.09 |
| 90656 |
|
68 |
68 |
$0.02 |
| 90651 |
|
565 |
555 |
$0.01 |
| 36416 |
|
988 |
885 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
28 |
28 |
$0.00 |
| 90697 |
|
864 |
834 |
$0.00 |
| 90723 |
|
697 |
694 |
$0.00 |
| 96127 |
|
312 |
301 |
$0.00 |
| 90716 |
|
687 |
677 |
$0.00 |
| 91307 |
|
141 |
133 |
$0.00 |
| 90696 |
|
77 |
76 |
$0.00 |
| 1000F |
|
13 |
13 |
$0.00 |
| 90633 |
|
860 |
849 |
$0.00 |
| 99173 |
|
7,293 |
7,091 |
$0.00 |
| 90670 |
|
1,967 |
1,949 |
$0.00 |
| 90707 |
|
672 |
664 |
$0.00 |
| 90648 |
|
1,190 |
1,186 |
$0.00 |
| 90734 |
|
394 |
391 |
$0.00 |
| 90700 |
|
69 |
68 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90681 |
|
344 |
341 |
$0.00 |