| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,028 |
9,604 |
$907K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,007 |
8,910 |
$534K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,460 |
1,276 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,013 |
4,315 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,047 |
878 |
$79K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
846 |
696 |
$64K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
746 |
642 |
$62K |
| 92551 |
|
3,504 |
2,866 |
$53K |
| D1206 |
Topical application of fluoride varnish |
1,920 |
1,545 |
$49K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,813 |
1,671 |
$46K |
| 90670 |
|
1,890 |
1,570 |
$31K |
| 99401 |
|
1,270 |
371 |
$31K |
| 99215 |
Prolong outpt/office vis |
342 |
298 |
$28K |
| 90686 |
|
2,160 |
1,829 |
$23K |
| 99173 |
|
2,709 |
2,280 |
$20K |
| 99460 |
|
381 |
362 |
$19K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
355 |
334 |
$19K |
| 90744 |
|
947 |
799 |
$9K |
| 90688 |
|
919 |
785 |
$9K |
| 90698 |
|
739 |
618 |
$8K |
| 90700 |
|
719 |
571 |
$7K |
| 90648 |
|
627 |
486 |
$6K |
| 90633 |
|
685 |
567 |
$6K |
| 90680 |
|
449 |
374 |
$6K |
| 90649 |
|
494 |
390 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
122 |
112 |
$4K |
| 90651 |
|
140 |
128 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
315 |
286 |
$4K |
| 90734 |
|
304 |
254 |
$4K |
| 96127 |
|
172 |
163 |
$3K |
| 90713 |
|
235 |
179 |
$2K |
| 95930 |
|
33 |
26 |
$2K |
| 90707 |
|
102 |
80 |
$1K |
| 90715 |
|
151 |
115 |
$1K |
| 97802 |
|
386 |
354 |
$1K |
| 99462 |
|
47 |
41 |
$707.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
37 |
$675.10 |
| 90658 |
|
73 |
56 |
$557.20 |
| 90716 |
|
40 |
38 |
$391.47 |
| 90710 |
|
41 |
27 |
$263.36 |
| 90685 |
|
31 |
29 |
$221.65 |
| 90620 |
|
13 |
13 |
$217.23 |
| 90657 |
|
17 |
12 |
$103.84 |
| 96161 |
|
134 |
116 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
65 |
61 |
$0.00 |