| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,616 |
7,194 |
$710K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,470 |
2,157 |
$281K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,201 |
1,151 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,178 |
1,044 |
$109K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
810 |
779 |
$84K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
296 |
274 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,092 |
1,223 |
$26K |
| 90686 |
|
810 |
759 |
$17K |
| 90698 |
|
739 |
709 |
$16K |
| 99215 |
Prolong outpt/office vis |
112 |
98 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,233 |
1,062 |
$13K |
| 90677 |
|
134 |
122 |
$13K |
| 90670 |
|
537 |
503 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
290 |
270 |
$12K |
| 92551 |
|
1,236 |
1,189 |
$11K |
| 92552 |
|
426 |
403 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
165 |
154 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
641 |
$8K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
192 |
178 |
$7K |
| 96127 |
|
1,034 |
992 |
$7K |
| 87807 |
|
451 |
389 |
$4K |
| 99173 |
|
1,759 |
1,668 |
$4K |
| 85018 |
|
1,878 |
1,784 |
$4K |
| 90680 |
|
169 |
152 |
$3K |
| 94760 |
|
1,199 |
963 |
$3K |
| 90633 |
|
117 |
113 |
$3K |
| 81002 |
|
984 |
917 |
$2K |
| 90744 |
|
129 |
114 |
$2K |
| 90710 |
|
107 |
100 |
$2K |
| 90656 |
|
84 |
84 |
$2K |
| D1206 |
Topical application of fluoride varnish |
93 |
76 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
76 |
71 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
218 |
200 |
$1K |
| 90619 |
|
12 |
12 |
$1K |
| 96161 |
|
432 |
402 |
$1K |
| 96160 |
|
379 |
362 |
$1K |
| 90651 |
|
34 |
29 |
$1K |
| 90734 |
|
39 |
34 |
$812.47 |
| 99177 |
|
110 |
105 |
$509.04 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
49 |
36 |
$492.66 |
| 90715 |
|
22 |
17 |
$463.27 |
| 90620 |
|
13 |
12 |
$302.64 |
| 36415 |
Collection of venous blood by venipuncture |
148 |
147 |
$228.00 |
| 83655 |
|
30 |
26 |
$130.79 |
| 36416 |
|
1,040 |
797 |
$10.00 |
| 99000 |
|
197 |
169 |
$3.97 |
| 99001 |
|
252 |
242 |
$2.40 |