| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,433 |
976 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,235 |
2,308 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
567 |
431 |
$45K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,826 |
1,307 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
452 |
342 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
382 |
285 |
$39K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
435 |
329 |
$20K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
739 |
531 |
$20K |
| 0001A |
|
544 |
381 |
$17K |
| 0002A |
|
423 |
312 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
83 |
$10K |
| D0145 |
Oral evaluation for a patient under three years of age |
252 |
190 |
$9K |
| 0072A |
|
184 |
130 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
505 |
389 |
$5K |
| 0071A |
|
138 |
102 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
52 |
42 |
$5K |
| D1206 |
Topical application of fluoride varnish |
269 |
207 |
$4K |
| 0011A |
|
105 |
81 |
$4K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
143 |
94 |
$3K |
| 92551 |
|
596 |
455 |
$3K |
| 0052A |
|
70 |
46 |
$3K |
| 0054A |
|
52 |
38 |
$2K |
| 90474 |
|
132 |
105 |
$2K |
| 81025 |
|
319 |
234 |
$1K |
| 0012A |
|
33 |
26 |
$1K |
| 90651 |
|
376 |
256 |
$1K |
| 90686 |
|
1,509 |
1,071 |
$1K |
| 90715 |
|
351 |
246 |
$1K |
| 90734 |
|
572 |
349 |
$1K |
| 0074A |
|
24 |
13 |
$975.00 |
| 0064A |
|
21 |
15 |
$910.00 |
| 90620 |
|
240 |
137 |
$865.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
316 |
201 |
$826.28 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
314 |
199 |
$826.28 |
| 0051A |
|
21 |
15 |
$780.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
35 |
19 |
$667.03 |
| 81003 |
|
183 |
130 |
$352.14 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
251 |
209 |
$330.15 |
| 87210 |
|
85 |
66 |
$272.23 |
| 85018 |
|
204 |
147 |
$255.37 |
| 99173 |
|
598 |
458 |
$234.42 |
| 83655 |
|
116 |
89 |
$183.24 |
| 82947 |
|
18 |
12 |
$158.18 |
| 90473 |
|
49 |
42 |
$68.45 |
| 86592 |
|
240 |
198 |
$63.90 |
| 82120 |
|
85 |
66 |
$37.81 |
| 90619 |
|
98 |
76 |
$0.03 |
| 91300 |
|
659 |
396 |
$0.00 |
| 90633 |
|
390 |
283 |
$0.00 |
| 90710 |
|
277 |
212 |
$0.00 |
| 90670 |
|
688 |
520 |
$0.00 |
| 90700 |
|
38 |
30 |
$0.00 |
| 90680 |
|
424 |
313 |
$0.00 |
| 90647 |
|
484 |
367 |
$0.00 |
| 90723 |
|
324 |
240 |
$0.00 |
| 91307 |
|
350 |
223 |
$0.00 |
| 90698 |
|
45 |
37 |
$0.00 |
| 91301 |
|
548 |
369 |
$0.00 |
| 91305 |
|
195 |
129 |
$0.00 |
| 91306 |
|
21 |
15 |
$0.00 |