| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,330 |
7,592 |
$822K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,120 |
1,937 |
$271K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,984 |
1,829 |
$210K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,129 |
1,779 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,208 |
1,145 |
$133K |
| 92552 |
|
3,395 |
3,201 |
$83K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
660 |
618 |
$80K |
| 90677 |
|
467 |
435 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,106 |
2,828 |
$33K |
| 96127 |
|
3,797 |
3,582 |
$32K |
| 90686 |
|
1,365 |
1,247 |
$30K |
| 90698 |
|
1,365 |
1,241 |
$30K |
| 99383 |
|
232 |
206 |
$25K |
| 90670 |
|
1,034 |
928 |
$23K |
| 90680 |
|
954 |
869 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
188 |
182 |
$21K |
| 90633 |
|
842 |
762 |
$18K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
450 |
426 |
$17K |
| 99381 |
|
154 |
144 |
$15K |
| 90744 |
|
615 |
559 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,098 |
1,022 |
$12K |
| 90619 |
|
232 |
215 |
$11K |
| 90710 |
|
459 |
415 |
$10K |
| 99177 |
|
1,962 |
1,799 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
454 |
402 |
$9K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
501 |
461 |
$8K |
| 99173 |
|
2,203 |
2,084 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,868 |
4,302 |
$5K |
| 90656 |
|
187 |
182 |
$4K |
| 90651 |
|
169 |
159 |
$4K |
| 99382 |
|
35 |
25 |
$3K |
| 0072A |
|
80 |
78 |
$3K |
| 90461 |
|
2,330 |
1,905 |
$3K |
| 0071A |
|
82 |
77 |
$3K |
| 96161 |
|
1,138 |
940 |
$3K |
| 99384 |
|
18 |
17 |
$2K |
| 90715 |
|
87 |
73 |
$2K |
| 87428 |
|
61 |
58 |
$2K |
| 90661 |
|
79 |
68 |
$1K |
| 99050 |
|
111 |
101 |
$1K |
| 85018 |
|
625 |
552 |
$1K |
| 90716 |
|
43 |
39 |
$907.92 |
| 90696 |
|
46 |
40 |
$907.92 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
47 |
46 |
$870.98 |
| 90707 |
|
28 |
26 |
$605.28 |
| 90621 |
|
17 |
12 |
$302.64 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$299.04 |
| 90734 |
|
12 |
12 |
$279.36 |
| 99072 |
|
1,113 |
857 |
$270.00 |
| 99000 |
|
1,866 |
1,684 |
$151.83 |
| 94760 |
|
68 |
59 |
$122.20 |
| 99051 |
|
15 |
13 |
$50.00 |
| 36416 |
|
640 |
558 |
$33.00 |
| 91307 |
|
97 |
91 |
$0.26 |
| 91308 |
|
16 |
12 |
$0.01 |