| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,168 |
20,267 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,761 |
6,740 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,250 |
3,040 |
$10K |
| 92551 |
|
14,078 |
14,048 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13,166 |
12,178 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,451 |
4,449 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,170 |
1,154 |
$3K |
| D1206 |
Topical application of fluoride varnish |
8,637 |
8,588 |
$2K |
| 85018 |
|
16,685 |
16,451 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,594 |
4,518 |
$2K |
| 90658 |
|
6,511 |
6,504 |
$2K |
| 99381 |
|
208 |
201 |
$1K |
| 90649 |
|
4,587 |
4,583 |
$750.60 |
| 90648 |
|
3,733 |
3,681 |
$643.50 |
| 90670 |
|
3,615 |
3,608 |
$622.80 |
| 81002 |
|
300 |
300 |
$517.20 |
| 90723 |
|
2,625 |
2,576 |
$479.70 |
| 81000 |
|
12,812 |
12,784 |
$463.13 |
| 99173 |
|
12,693 |
12,661 |
$433.68 |
| 90681 |
|
1,447 |
1,410 |
$225.00 |
| 83655 |
|
218 |
215 |
$210.77 |
| 90715 |
|
1,487 |
1,484 |
$207.00 |
| 90734 |
|
2,184 |
2,181 |
$176.40 |
| 90710 |
|
1,442 |
1,440 |
$148.50 |
| 90696 |
|
949 |
949 |
$128.70 |
| 90633 |
|
2,115 |
2,112 |
$79.20 |
| 90716 |
|
352 |
352 |
$19.80 |
| 90700 |
|
787 |
785 |
$19.80 |
| 90707 |
|
289 |
289 |
$9.90 |
| 90620 |
|
3,968 |
3,968 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,568 |
4,519 |
$0.00 |
| 86580 |
|
866 |
862 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,159 |
1,067 |
$0.00 |
| 90744 |
|
164 |
164 |
$0.00 |
| 87084 |
|
54 |
54 |
$0.00 |
| 90697 |
|
16 |
16 |
$0.00 |
| 90655 |
|
1,083 |
1,082 |
$0.00 |
| 99188 |
|
1,961 |
1,955 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
61 |
$0.00 |