| Code | Description | Claims | Beneficiaries | Total Paid |
| 99051 |
|
20,029 |
18,452 |
$1.49M |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,143 |
8,440 |
$1.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,039 |
18,262 |
$729K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,215 |
5,192 |
$490K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,416 |
12,855 |
$477K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,450 |
5,239 |
$462K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,128 |
3,801 |
$349K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,751 |
2,737 |
$302K |
| D1206 |
Topical application of fluoride varnish |
11,425 |
10,933 |
$253K |
| 96156 |
|
1,770 |
1,433 |
$183K |
| 92551 |
|
9,997 |
9,888 |
$137K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,916 |
8,552 |
$115K |
| 90686 |
|
9,209 |
9,009 |
$103K |
| 96150 |
|
4,115 |
2,744 |
$91K |
| G9920 |
Screening performed and negative |
3,443 |
3,362 |
$61K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,384 |
1,305 |
$60K |
| 99188 |
|
2,191 |
2,120 |
$48K |
| 99173 |
|
10,740 |
10,617 |
$47K |
| 90677 |
|
401 |
351 |
$42K |
| 99381 |
|
364 |
355 |
$41K |
| 90700 |
|
3,683 |
3,477 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
319 |
314 |
$39K |
| 90670 |
|
3,157 |
2,950 |
$39K |
| 85018 |
|
14,772 |
14,420 |
$38K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
443 |
428 |
$35K |
| 90713 |
|
2,846 |
2,676 |
$32K |
| 90647 |
|
2,752 |
2,550 |
$31K |
| 90680 |
|
2,431 |
2,247 |
$28K |
| 90651 |
|
2,215 |
2,202 |
$26K |
| 97802 |
|
863 |
861 |
$26K |
| H0049 |
Alcohol and/or drug screening |
814 |
807 |
$24K |
| 83655 |
|
1,666 |
1,579 |
$22K |
| 90633 |
|
1,888 |
1,791 |
$21K |
| 90716 |
|
1,716 |
1,644 |
$19K |
| 90707 |
|
1,646 |
1,581 |
$19K |
| 90744 |
|
1,495 |
1,391 |
$17K |
| 99383 |
|
108 |
108 |
$16K |
| 90734 |
|
832 |
827 |
$12K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,914 |
1,865 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
469 |
407 |
$10K |
| 96127 |
|
1,434 |
1,386 |
$8K |
| 99384 |
|
45 |
45 |
$7K |
| 90723 |
|
550 |
511 |
$7K |
| 99382 |
|
48 |
48 |
$7K |
| 87430 |
|
532 |
517 |
$7K |
| 96160 |
|
1,194 |
1,145 |
$6K |
| 90688 |
|
438 |
436 |
$5K |
| 90620 |
|
363 |
362 |
$4K |
| 90656 |
|
354 |
353 |
$4K |
| 86580 |
|
876 |
867 |
$4K |
| 90715 |
|
312 |
308 |
$3K |
| 90685 |
|
214 |
197 |
$3K |
| 90687 |
|
143 |
143 |
$2K |
| 87400 |
|
252 |
222 |
$2K |
| 94664 |
|
64 |
63 |
$736.31 |
| 90696 |
|
27 |
25 |
$298.89 |
| 87420 |
|
41 |
32 |
$270.81 |
| 81001 |
|
28 |
28 |
$87.36 |
| 99221 |
|
15 |
15 |
$0.00 |