| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,363 |
7,511 |
$409K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,450 |
2,374 |
$184K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,959 |
1,923 |
$163K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,082 |
1,820 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,460 |
1,208 |
$100K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,454 |
2,291 |
$30K |
| 99173 |
|
3,687 |
3,520 |
$27K |
| 90686 |
|
2,434 |
2,329 |
$27K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,539 |
1,463 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,432 |
1,272 |
$23K |
| 85018 |
|
6,407 |
6,079 |
$14K |
| 81002 |
|
5,221 |
5,016 |
$13K |
| D1206 |
Topical application of fluoride varnish |
471 |
395 |
$12K |
| 90648 |
|
1,127 |
973 |
$10K |
| 90670 |
|
991 |
878 |
$9K |
| 83655 |
|
773 |
676 |
$9K |
| 90651 |
|
582 |
549 |
$8K |
| 90619 |
|
296 |
291 |
$5K |
| 90723 |
|
530 |
466 |
$4K |
| 90685 |
|
470 |
428 |
$4K |
| 90700 |
|
396 |
341 |
$4K |
| 90707 |
|
364 |
317 |
$3K |
| 90716 |
|
327 |
283 |
$3K |
| 36416 |
|
777 |
679 |
$3K |
| 90633 |
|
357 |
299 |
$3K |
| 90621 |
|
183 |
181 |
$3K |
| 90680 |
|
343 |
285 |
$2K |
| 92587 |
|
134 |
128 |
$2K |
| 95930 |
|
45 |
45 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$2K |
| 90715 |
|
181 |
178 |
$2K |
| 90734 |
|
259 |
253 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
59 |
$2K |
| 86580 |
|
297 |
289 |
$1K |
| 90713 |
|
109 |
87 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$344.30 |
| 94760 |
|
88 |
69 |
$167.20 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
12 |
$13.03 |