| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,036 |
1,767 |
$122K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
264 |
221 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
217 |
196 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
147 |
137 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
135 |
122 |
$8K |
| 99173 |
|
412 |
367 |
$7K |
| 92551 |
|
452 |
404 |
$6K |
| 99188 |
|
397 |
350 |
$4K |
| 3008F |
|
653 |
579 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
92 |
82 |
$3K |
| 96127 |
|
486 |
442 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
68 |
$2K |
| 90677 |
|
127 |
107 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
137 |
116 |
$1K |
| 90686 |
|
117 |
106 |
$1K |
| 99000 |
|
308 |
280 |
$1K |
| 83655 |
|
107 |
89 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16 |
16 |
$1K |
| 80061 |
Lipid panel |
80 |
77 |
$956.83 |
| 90674 |
|
80 |
64 |
$929.70 |
| 90647 |
|
60 |
55 |
$840.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
65 |
65 |
$824.96 |
| 90651 |
|
54 |
52 |
$727.50 |
| 36416 |
|
332 |
293 |
$700.75 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$637.92 |
| 90619 |
|
37 |
31 |
$491.70 |
| 90716 |
|
35 |
30 |
$435.00 |
| 90707 |
|
32 |
27 |
$405.00 |
| 90620 |
|
13 |
13 |
$378.12 |
| 90633 |
|
32 |
27 |
$330.00 |
| 87807 |
|
25 |
23 |
$308.01 |
| 82947 |
|
81 |
78 |
$265.76 |
| 82948 |
|
71 |
68 |
$191.26 |
| 90680 |
|
12 |
12 |
$180.00 |
| 90723 |
|
12 |
12 |
$180.00 |
| 85018 |
|
43 |
42 |
$111.53 |
| 81025 |
|
14 |
12 |
$105.16 |
| 90461 |
|
269 |
238 |
$59.31 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
576 |
513 |
$51.61 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
67 |
$21.40 |