| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,260 |
19,507 |
$929K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,572 |
14,376 |
$727K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
8,760 |
7,702 |
$570K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,723 |
7,181 |
$561K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,588 |
4,242 |
$311K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,551 |
3,291 |
$255K |
| 87428 |
|
1,951 |
1,850 |
$114K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,366 |
1,276 |
$108K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,885 |
2,927 |
$102K |
| 99177 |
|
7,364 |
6,799 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,294 |
4,012 |
$37K |
| 96127 |
|
7,917 |
7,194 |
$32K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,019 |
1,406 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
991 |
934 |
$29K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,102 |
1,076 |
$16K |
| 3008F |
|
11,823 |
10,906 |
$14K |
| 92551 |
|
1,302 |
1,223 |
$11K |
| 83655 |
|
784 |
709 |
$8K |
| 96161 |
|
1,167 |
1,129 |
$8K |
| 90670 |
|
4,574 |
4,304 |
$5K |
| 90651 |
|
263 |
247 |
$5K |
| 85018 |
|
2,456 |
2,244 |
$5K |
| 36416 |
|
5,119 |
4,515 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
81 |
80 |
$3K |
| 90677 |
|
1,046 |
1,022 |
$3K |
| 90716 |
|
810 |
740 |
$2K |
| 90698 |
|
3,812 |
3,627 |
$2K |
| 90686 |
|
4,635 |
4,267 |
$2K |
| 90680 |
|
2,793 |
2,681 |
$2K |
| 90707 |
|
845 |
768 |
$1K |
| 96380 |
|
65 |
63 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
57 |
54 |
$891.29 |
| 90633 |
|
1,391 |
1,265 |
$646.66 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,199 |
1,139 |
$564.41 |
| D1206 |
Topical application of fluoride varnish |
25 |
24 |
$492.00 |
| 90734 |
|
103 |
100 |
$323.37 |
| 96160 |
|
30 |
26 |
$293.12 |
| D0190 |
|
25 |
24 |
$288.00 |
| 90744 |
|
1,740 |
1,629 |
$212.91 |
| 80061 |
Lipid panel |
16 |
12 |
$177.96 |
| 87807 |
|
14 |
14 |
$118.80 |
| 90656 |
|
359 |
359 |
$92.80 |
| 90696 |
|
85 |
75 |
$70.80 |
| 90685 |
|
226 |
216 |
$49.56 |
| 99173 |
|
13 |
12 |
$36.66 |
| 81002 |
|
12 |
12 |
$27.84 |
| 99072 |
|
7,354 |
6,660 |
$0.37 |
| 90674 |
|
84 |
78 |
$0.01 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90672 |
|
13 |
13 |
$0.00 |
| 90661 |
|
18 |
17 |
$0.00 |
| 90700 |
|
16 |
14 |
$0.00 |
| 90648 |
|
14 |
12 |
$0.00 |
| 90715 |
|
30 |
29 |
$0.00 |
| 90381 |
|
12 |
12 |
$0.00 |
| 99000 |
|
58 |
52 |
$0.00 |