| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55,557 |
41,765 |
$3.56M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,206 |
7,538 |
$706K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,682 |
7,008 |
$643K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,938 |
4,370 |
$573K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,763 |
5,353 |
$570K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,989 |
5,297 |
$460K |
| D1206 |
Topical application of fluoride varnish |
8,775 |
7,092 |
$212K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
11,257 |
10,136 |
$113K |
| 92551 |
|
13,544 |
12,452 |
$110K |
| 90698 |
|
4,626 |
4,173 |
$82K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
683 |
662 |
$81K |
| 90670 |
|
4,015 |
3,584 |
$68K |
| 90688 |
|
3,607 |
3,257 |
$62K |
| 90680 |
|
3,105 |
2,841 |
$57K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,560 |
3,285 |
$54K |
| 90677 |
|
902 |
826 |
$50K |
| 92552 |
|
2,833 |
2,672 |
$48K |
| 90633 |
|
2,340 |
2,176 |
$46K |
| 99381 |
|
576 |
515 |
$46K |
| 90744 |
|
2,237 |
2,094 |
$45K |
| 90734 |
|
1,902 |
1,842 |
$40K |
| 90710 |
|
2,002 |
1,859 |
$39K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,063 |
953 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
16,106 |
14,581 |
$35K |
| 99173 |
|
16,401 |
15,142 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,531 |
3,230 |
$25K |
| 90651 |
|
1,194 |
1,151 |
$25K |
| 90696 |
|
988 |
959 |
$22K |
| 90715 |
|
995 |
960 |
$22K |
| 90658 |
|
1,361 |
1,268 |
$21K |
| 36410 |
|
1,766 |
1,593 |
$12K |
| 90687 |
|
582 |
547 |
$11K |
| 87807 |
|
1,116 |
950 |
$9K |
| 0071A |
|
391 |
325 |
$8K |
| 0072A |
|
352 |
307 |
$7K |
| 90657 |
|
467 |
430 |
$7K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
450 |
418 |
$6K |
| 90649 |
|
248 |
228 |
$6K |
| 90707 |
|
246 |
234 |
$5K |
| 90716 |
|
245 |
234 |
$5K |
| 36406 |
|
286 |
263 |
$3K |
| 0001A |
|
128 |
103 |
$3K |
| 0002A |
|
81 |
74 |
$3K |
| 69210 |
|
58 |
54 |
$3K |
| 0004A |
|
54 |
53 |
$2K |
| 81002 |
|
867 |
785 |
$2K |
| 36416 |
|
642 |
572 |
$2K |
| 90621 |
|
43 |
43 |
$1K |
| 87809 |
|
44 |
40 |
$702.38 |
| 84030 |
|
371 |
298 |
$627.93 |
| A4250 |
Urine test or reagent strips or tablets (100 tablets or strips) |
85 |
65 |
$520.00 |
| 99051 |
|
36 |
36 |
$350.00 |
| 99050 |
|
16 |
16 |
$120.00 |
| 81005 |
|
69 |
49 |
$56.86 |
| 91307 |
|
557 |
419 |
$9.02 |
| 91300 |
|
262 |
183 |
$0.03 |