| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,365 |
5,857 |
$212K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,697 |
1,697 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,851 |
1,849 |
$180K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,885 |
1,817 |
$177K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,398 |
1,292 |
$130K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,100 |
2,911 |
$127K |
| 92551 |
|
4,125 |
4,113 |
$56K |
| 90686 |
|
2,272 |
2,264 |
$32K |
| 99173 |
|
4,031 |
4,025 |
$16K |
| 90670 |
|
1,320 |
1,226 |
$15K |
| 99215 |
Prolong outpt/office vis |
286 |
271 |
$13K |
| 90651 |
|
846 |
845 |
$13K |
| 85018 |
|
3,781 |
3,687 |
$10K |
| 90680 |
|
781 |
702 |
$9K |
| 90734 |
|
641 |
638 |
$8K |
| 90698 |
|
707 |
654 |
$8K |
| 90633 |
|
450 |
431 |
$5K |
| 90688 |
|
434 |
433 |
$5K |
| 90744 |
|
385 |
355 |
$4K |
| 0004A |
|
103 |
103 |
$4K |
| 90700 |
|
343 |
307 |
$4K |
| 0071A |
|
91 |
91 |
$4K |
| 0072A |
|
89 |
89 |
$4K |
| 90648 |
|
276 |
241 |
$3K |
| 90713 |
|
248 |
225 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
230 |
223 |
$3K |
| 90480 |
|
60 |
42 |
$2K |
| 87070 |
|
226 |
220 |
$2K |
| 90715 |
|
206 |
206 |
$2K |
| 90716 |
|
159 |
150 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
35 |
34 |
$2K |
| 90671 |
|
41 |
41 |
$2K |
| 90685 |
|
124 |
107 |
$1K |
| 90707 |
|
120 |
116 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
54 |
$1K |
| 91321 |
|
15 |
13 |
$729.60 |
| 0001A |
|
15 |
15 |
$600.00 |
| 91322 |
|
18 |
15 |
$583.68 |
| 0002A |
|
14 |
14 |
$560.00 |
| 90697 |
|
12 |
12 |
$480.00 |
| 90710 |
|
36 |
36 |
$385.38 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$287.82 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
38 |
38 |
$184.24 |