| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,484 |
13,100 |
$591K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,981 |
1,907 |
$157K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,099 |
2,000 |
$156K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,883 |
3,632 |
$150K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,607 |
1,544 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,352 |
5,514 |
$117K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,525 |
1,410 |
$110K |
| S8301 |
Infection control supplies, not otherwise specified |
11,455 |
9,263 |
$66K |
| 99429 |
|
2,076 |
1,981 |
$64K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,698 |
1,734 |
$48K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,029 |
1,917 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
519 |
468 |
$26K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,979 |
1,850 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,102 |
1,437 |
$16K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
469 |
457 |
$13K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
466 |
454 |
$13K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,927 |
1,604 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
480 |
457 |
$11K |
| 90461 |
|
1,506 |
1,247 |
$9K |
| 99000 |
|
959 |
899 |
$9K |
| CP002 |
|
554 |
466 |
$5K |
| 0071A |
|
116 |
110 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
73 |
68 |
$4K |
| 0072A |
|
95 |
89 |
$4K |
| 96160 |
|
2,287 |
2,116 |
$3K |
| 87807 |
|
239 |
227 |
$2K |
| 99051 |
|
315 |
306 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
70 |
58 |
$2K |
| 97169 |
|
40 |
36 |
$1K |
| 99381 |
|
12 |
12 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
12 |
$965.64 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
52 |
43 |
$613.46 |
| 97802 |
|
4,167 |
3,988 |
$404.00 |
| 81003 |
|
212 |
179 |
$386.69 |
| 90474 |
|
51 |
49 |
$384.16 |
| 99050 |
|
20 |
20 |
$298.98 |
| 90671 |
|
428 |
393 |
$242.04 |
| 90686 |
|
2,781 |
2,685 |
$111.37 |
| 96161 |
|
50 |
49 |
$42.75 |
| 90619 |
|
123 |
122 |
$36.00 |
| 90677 |
|
151 |
148 |
$15.00 |
| 90661 |
|
162 |
161 |
$14.00 |
| 90651 |
|
402 |
393 |
$7.01 |
| 90620 |
|
53 |
52 |
$1.00 |
| 90716 |
|
386 |
376 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
4,172 |
3,991 |
$0.00 |
| 90680 |
|
831 |
794 |
$0.00 |
| 90656 |
|
177 |
171 |
$0.00 |
| 90697 |
|
115 |
101 |
$0.00 |
| 90723 |
|
121 |
119 |
$0.00 |
| D1208 |
Topical application of fluoride, excluding varnish |
217 |
210 |
$0.00 |
| 91307 |
|
224 |
195 |
$0.00 |
| 90698 |
|
88 |
88 |
$0.00 |
| 90633 |
|
414 |
402 |
$0.00 |
| 90707 |
|
372 |
363 |
$0.00 |
| 90670 |
|
671 |
656 |
$0.00 |
| 90715 |
|
43 |
43 |
$0.00 |
| 90648 |
|
357 |
350 |
$0.00 |
| 90734 |
|
87 |
85 |
$0.00 |
| 90700 |
|
64 |
59 |
$0.00 |