| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,168 |
13,042 |
$1.10M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,888 |
16,166 |
$988K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,759 |
4,386 |
$377K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,760 |
4,377 |
$362K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,721 |
10,654 |
$299K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
849 |
749 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,721 |
2,198 |
$50K |
| 92551 |
|
4,880 |
4,294 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,090 |
2,636 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
891 |
796 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
247 |
221 |
$18K |
| 87428 |
|
544 |
497 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
160 |
153 |
$13K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
430 |
363 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
444 |
375 |
$12K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
306 |
285 |
$10K |
| 99173 |
|
4,694 |
4,132 |
$8K |
| 83655 |
|
889 |
800 |
$7K |
| 85018 |
|
2,412 |
2,145 |
$3K |
| 99401 |
|
146 |
123 |
$3K |
| 87807 |
|
326 |
295 |
$3K |
| 96116 |
|
637 |
591 |
$2K |
| 96161 |
|
1,209 |
1,165 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
241 |
$2K |
| 96127 |
|
493 |
431 |
$1K |
| 80061 |
Lipid panel |
120 |
109 |
$1K |
| 96160 |
|
488 |
425 |
$626.56 |
| 85013 |
|
196 |
178 |
$621.15 |
| 87899 |
|
44 |
43 |
$589.94 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$441.10 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$301.54 |
| 90670 |
|
2,916 |
2,755 |
$232.18 |
| 90651 |
|
91 |
84 |
$216.65 |
| 90461 |
|
1,810 |
1,710 |
$195.90 |
| 90686 |
|
1,948 |
1,828 |
$113.26 |
| 99177 |
|
1,517 |
1,404 |
$95.68 |
| 94760 |
|
34 |
25 |
$6.20 |
| 90647 |
|
318 |
310 |
$0.35 |
| 90716 |
|
43 |
38 |
$0.07 |
| 90633 |
|
450 |
415 |
$0.05 |
| 90707 |
|
29 |
25 |
$0.02 |
| 90648 |
|
61 |
58 |
$0.01 |
| 90723 |
|
1,215 |
1,161 |
$0.01 |
| 99072 |
|
2,112 |
1,883 |
$0.00 |
| 90681 |
|
328 |
317 |
$0.00 |
| 90710 |
|
63 |
63 |
$0.00 |
| 90734 |
|
68 |
60 |
$0.00 |
| 36416 |
|
114 |
110 |
$0.00 |
| 90696 |
|
47 |
47 |
$0.00 |
| 90697 |
|
40 |
40 |
$0.00 |
| 99070 |
|
79 |
70 |
$0.00 |