| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,575 |
6,304 |
$580K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,052 |
2,864 |
$425K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,928 |
2,470 |
$328K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,333 |
6,505 |
$317K |
| 92587 |
|
7,524 |
6,922 |
$236K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,659 |
4,060 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,559 |
1,423 |
$190K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,013 |
5,546 |
$174K |
| 99177 |
|
7,525 |
6,924 |
$132K |
| 99188 |
|
3,729 |
3,469 |
$82K |
| 96127 |
|
2,680 |
2,462 |
$72K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
592 |
538 |
$72K |
| 87428 |
|
1,424 |
1,272 |
$41K |
| D0145 |
Oral evaluation for a patient under three years of age |
618 |
580 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
123 |
107 |
$14K |
| 36416 |
|
3,719 |
3,420 |
$11K |
| D1206 |
Topical application of fluoride varnish |
518 |
495 |
$11K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
768 |
358 |
$8K |
| 88720 |
|
1,068 |
573 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
56 |
52 |
$4K |
| 99381 |
|
27 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
209 |
$2K |
| 69210 |
|
90 |
82 |
$2K |
| 87807 |
|
101 |
91 |
$893.10 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
12 |
$500.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
16 |
13 |
$459.29 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$52.05 |
| 90686 |
|
2,063 |
1,872 |
$19.05 |
| 90671 |
|
574 |
529 |
$0.53 |
| 90670 |
|
1,353 |
1,242 |
$0.03 |
| 90680 |
|
1,083 |
980 |
$0.00 |
| 90723 |
|
1,307 |
1,195 |
$0.00 |
| 90651 |
|
142 |
130 |
$0.00 |
| 85018 |
|
981 |
846 |
$0.00 |
| 90716 |
|
638 |
584 |
$0.00 |
| 90619 |
|
38 |
36 |
$0.00 |
| 90696 |
|
48 |
43 |
$0.00 |
| 90660 |
|
85 |
83 |
$0.00 |
| 90707 |
|
644 |
598 |
$0.00 |
| 90633 |
|
846 |
786 |
$0.00 |
| 90648 |
|
1,896 |
1,741 |
$0.00 |
| 90672 |
|
363 |
349 |
$0.00 |
| 90685 |
|
44 |
41 |
$0.00 |
| 90681 |
|
27 |
27 |
$0.00 |
| 90700 |
|
34 |
28 |
$0.00 |
| 90734 |
|
31 |
25 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |