| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,130 |
7,923 |
$469K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,740 |
3,017 |
$276K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,356 |
2,677 |
$256K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,593 |
2,296 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,767 |
2,410 |
$209K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,980 |
2,377 |
$204K |
| 96127 |
|
4,329 |
3,588 |
$66K |
| 90686 |
|
5,118 |
4,315 |
$55K |
| 90651 |
|
1,246 |
1,012 |
$43K |
| D1206 |
Topical application of fluoride varnish |
1,253 |
930 |
$33K |
| 90670 |
|
1,751 |
1,445 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,627 |
1,362 |
$27K |
| 90620 |
|
781 |
644 |
$24K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
492 |
413 |
$22K |
| 90677 |
|
399 |
334 |
$22K |
| 90734 |
|
721 |
595 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,126 |
977 |
$18K |
| 90698 |
|
1,404 |
1,215 |
$17K |
| 92558 |
|
1,303 |
922 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,158 |
990 |
$14K |
| 90633 |
|
1,103 |
877 |
$13K |
| 90680 |
|
815 |
719 |
$10K |
| 95930 |
|
151 |
70 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
138 |
133 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
77 |
71 |
$7K |
| 90744 |
|
533 |
463 |
$7K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
93 |
53 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
245 |
181 |
$6K |
| 90648 |
|
708 |
556 |
$5K |
| 90723 |
|
523 |
418 |
$5K |
| 90715 |
|
379 |
312 |
$5K |
| 90681 |
|
261 |
222 |
$5K |
| 90661 |
|
286 |
283 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
187 |
183 |
$5K |
| 90619 |
|
239 |
206 |
$4K |
| 99383 |
|
35 |
32 |
$3K |
| 0071A |
|
74 |
73 |
$3K |
| 90710 |
|
121 |
105 |
$3K |
| 90656 |
|
178 |
173 |
$3K |
| 0124A |
|
65 |
62 |
$3K |
| 0001A |
|
59 |
57 |
$2K |
| 99000 |
|
112 |
93 |
$2K |
| 99173 |
|
268 |
193 |
$2K |
| 99384 |
|
15 |
14 |
$2K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
13 |
13 |
$1K |
| 94760 |
|
869 |
652 |
$1K |
| 90716 |
|
64 |
37 |
$891.28 |
| 90685 |
|
128 |
88 |
$872.00 |
| 0072A |
|
20 |
20 |
$842.80 |
| 90707 |
|
61 |
36 |
$667.68 |
| 90696 |
|
43 |
37 |
$642.73 |
| 83655 |
|
44 |
32 |
$521.84 |
| 0054A |
|
12 |
12 |
$501.60 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
13 |
$275.50 |
| 90700 |
|
25 |
14 |
$250.00 |
| 90381 |
|
14 |
12 |
$236.94 |
| 81002 |
|
81 |
70 |
$210.60 |
| 85018 |
|
53 |
39 |
$122.96 |
| A4556 |
Electrodes, (e.g., apnea monitor), per pair |
22 |
13 |
$47.20 |
| A6411 |
Eye pad, non-sterile, each |
200 |
69 |
$36.64 |
| A4558 |
Conductive gel or paste, for use with electrical device (e.g., tens, nmes), per oz |
22 |
13 |
$15.65 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
99 |
79 |
$0.00 |
| 99177 |
|
37 |
37 |
$0.00 |
| 99188 |
|
20 |
12 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
276 |
239 |
$0.00 |