| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,130 |
7,433 |
$890K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,935 |
8,394 |
$698K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,472 |
4,025 |
$407K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,912 |
3,504 |
$353K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,641 |
3,020 |
$304K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,693 |
2,341 |
$258K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,393 |
2,055 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,118 |
8,196 |
$79K |
| 92551 |
|
8,112 |
7,304 |
$67K |
| 90698 |
|
2,557 |
2,283 |
$49K |
| 90670 |
|
2,295 |
2,059 |
$44K |
| W7010 |
|
2,756 |
2,419 |
$37K |
| 90686 |
|
1,816 |
1,601 |
$34K |
| 90680 |
|
1,661 |
1,461 |
$32K |
| 99381 |
|
366 |
293 |
$30K |
| 90633 |
|
1,511 |
1,334 |
$29K |
| 90744 |
|
1,365 |
1,183 |
$25K |
| 90710 |
|
1,164 |
1,046 |
$22K |
| 99173 |
|
8,516 |
7,693 |
$20K |
| 90651 |
|
1,021 |
867 |
$19K |
| 90677 |
|
494 |
413 |
$17K |
| D1206 |
Topical application of fluoride varnish |
698 |
647 |
$16K |
| 96127 |
|
4,115 |
3,673 |
$16K |
| 2015F |
|
1,097 |
979 |
$15K |
| 90620 |
|
586 |
505 |
$11K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
343 |
269 |
$10K |
| 99051 |
|
1,164 |
990 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
482 |
386 |
$9K |
| 90619 |
|
458 |
366 |
$9K |
| 90696 |
|
373 |
341 |
$7K |
| 90734 |
|
339 |
312 |
$6K |
| 90715 |
|
352 |
289 |
$6K |
| 99383 |
|
50 |
47 |
$6K |
| 90688 |
|
236 |
230 |
$5K |
| 96161 |
|
2,242 |
1,944 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
377 |
324 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
117 |
99 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
23 |
22 |
$2K |
| 90656 |
|
112 |
107 |
$2K |
| 87400 |
|
169 |
131 |
$2K |
| 90716 |
|
114 |
95 |
$2K |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
86 |
79 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$2K |
| 0071A |
|
49 |
47 |
$2K |
| 90707 |
|
107 |
84 |
$2K |
| 0072A |
|
41 |
39 |
$1K |
| 99243 |
|
12 |
12 |
$1K |
| 90662 |
|
51 |
37 |
$1K |
| 90658 |
|
43 |
43 |
$907.92 |
| 99408 |
|
20 |
20 |
$347.06 |
| 90713 |
|
13 |
13 |
$279.36 |
| 90647 |
|
12 |
12 |
$256.08 |
| S3620 |
Newborn metabolic screening panel, includes test kit, postage and the laboratory tests specified by the state for inclusion in this panel (e.g., galactose; hemoglobin, electrophoresis; hydroxyprogesterone, 17-d; phenylalanine (pku); and thyroxine, total) |
64 |
42 |
$210.00 |
| 86580 |
|
44 |
38 |
$206.18 |
| 94760 |
|
134 |
106 |
$195.26 |
| 90661 |
|
13 |
13 |
$176.53 |
| 99401 |
|
51 |
35 |
$169.64 |
| 81002 |
|
46 |
38 |
$93.20 |
| 81000 |
|
13 |
12 |
$32.00 |
| 99402 |
|
14 |
14 |
$15.00 |
| 36416 |
|
18 |
16 |
$10.00 |
| 91307 |
|
75 |
64 |
$0.05 |
| 91300 |
|
18 |
18 |
$0.00 |
| 99000 |
|
18 |
16 |
$0.00 |