| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,726 |
4,432 |
$427K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,117 |
4,334 |
$243K |
| 96160 |
|
5,622 |
4,491 |
$112K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,405 |
1,145 |
$105K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,353 |
1,086 |
$98K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,046 |
788 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,102 |
889 |
$75K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,196 |
1,733 |
$35K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,504 |
1,182 |
$31K |
| 96127 |
|
1,890 |
1,538 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
620 |
556 |
$21K |
| 92587 |
|
1,578 |
1,163 |
$20K |
| 90686 |
|
1,849 |
1,592 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
815 |
707 |
$13K |
| 87428 |
|
194 |
156 |
$12K |
| 99000 |
|
807 |
619 |
$12K |
| 90648 |
|
925 |
727 |
$10K |
| 90670 |
|
912 |
723 |
$9K |
| 87807 |
|
621 |
464 |
$6K |
| 90723 |
|
576 |
413 |
$6K |
| 99215 |
Prolong outpt/office vis |
81 |
67 |
$5K |
| 90656 |
|
249 |
219 |
$4K |
| 90633 |
|
287 |
204 |
$4K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
146 |
134 |
$3K |
| 0071A |
|
74 |
52 |
$3K |
| 90672 |
|
283 |
243 |
$3K |
| 99383 |
|
28 |
14 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
24 |
$2K |
| 0072A |
|
50 |
50 |
$2K |
| 90734 |
|
220 |
159 |
$2K |
| 0124A |
|
49 |
46 |
$2K |
| D1206 |
Topical application of fluoride varnish |
52 |
52 |
$1K |
| 90681 |
|
95 |
52 |
$924.58 |
| 81002 |
|
304 |
224 |
$788.20 |
| 90716 |
|
34 |
24 |
$642.02 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
65 |
55 |
$605.36 |
| 90677 |
|
37 |
30 |
$568.14 |
| 91321 |
|
28 |
25 |
$434.46 |
| 83655 |
|
15 |
13 |
$177.90 |
| 90651 |
|
28 |
26 |
$166.40 |
| 99051 |
|
83 |
61 |
$160.00 |
| 90715 |
|
23 |
13 |
$147.20 |
| 85018 |
|
33 |
27 |
$76.56 |
| 1220F |
|
631 |
429 |
$0.00 |
| 96161 |
|
113 |
108 |
$0.00 |
| 97802 |
|
167 |
146 |
$0.00 |
| 1036F |
|
74 |
57 |
$0.00 |
| 99177 |
|
26 |
24 |
$0.00 |
| 99072 |
|
347 |
223 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
98 |
83 |
$0.00 |