| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,721 |
2,228 |
$118K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,321 |
991 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,360 |
1,130 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,400 |
1,131 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,654 |
1,968 |
$46K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
568 |
485 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
184 |
160 |
$14K |
| D1206 |
Topical application of fluoride varnish |
501 |
362 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
316 |
241 |
$9K |
| 90670 |
|
930 |
767 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
348 |
299 |
$5K |
| 90698 |
|
664 |
535 |
$4K |
| 81002 |
|
1,496 |
1,258 |
$4K |
| 85018 |
|
1,646 |
1,365 |
$4K |
| 90680 |
|
486 |
402 |
$3K |
| 90686 |
|
448 |
383 |
$3K |
| 90633 |
|
443 |
336 |
$3K |
| 96127 |
|
126 |
126 |
$2K |
| 90744 |
|
160 |
141 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
149 |
145 |
$850.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
31 |
$844.50 |
| 99173 |
|
104 |
102 |
$759.90 |
| 90734 |
|
95 |
83 |
$622.40 |
| 90648 |
|
83 |
69 |
$518.40 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
22 |
13 |
$508.79 |
| 90716 |
|
77 |
68 |
$492.80 |
| 87420 |
|
29 |
24 |
$455.30 |
| 90710 |
|
73 |
56 |
$454.40 |
| 90707 |
|
60 |
50 |
$416.80 |
| 90651 |
|
64 |
59 |
$403.20 |
| 90715 |
|
52 |
42 |
$391.67 |
| 87807 |
|
29 |
20 |
$291.74 |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
17 |
12 |
$224.23 |
| 90696 |
|
32 |
27 |
$204.80 |
| 90685 |
|
34 |
31 |
$179.20 |
| 90620 |
|
12 |
12 |
$76.80 |
| 36415 |
Collection of venous blood by venipuncture |
41 |
39 |
$0.00 |