| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,308 |
6,553 |
$809K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,679 |
2,606 |
$286K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,178 |
2,794 |
$204K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,853 |
1,775 |
$201K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,435 |
4,706 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,670 |
4,364 |
$133K |
| 92552 |
|
3,291 |
3,288 |
$123K |
| 99401 |
|
3,456 |
3,180 |
$105K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
779 |
763 |
$90K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
837 |
700 |
$83K |
| 99441 |
|
3,328 |
3,095 |
$82K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,970 |
2,967 |
$79K |
| 99402 |
|
2,691 |
2,548 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,137 |
2,972 |
$38K |
| 90461 |
|
1,241 |
1,206 |
$36K |
| 97802 |
|
3,297 |
3,291 |
$35K |
| 90671 |
|
154 |
154 |
$34K |
| 83655 |
|
1,057 |
1,056 |
$12K |
| 92551 |
|
774 |
771 |
$9K |
| G0444 |
Annual depression screening, 5 to 15 minutes |
389 |
388 |
$6K |
| 86580 |
|
530 |
530 |
$6K |
| 99496 |
|
40 |
40 |
$5K |
| 0002A |
|
584 |
583 |
$3K |
| 99442 |
|
81 |
79 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
26 |
26 |
$3K |
| 87110 |
|
131 |
131 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
137 |
$2K |
| 90670 |
|
227 |
227 |
$2K |
| 90633 |
|
254 |
254 |
$2K |
| 81002 |
|
725 |
719 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
14 |
$2K |
| 90723 |
|
242 |
242 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 17250 |
|
12 |
12 |
$1K |
| 81001 |
|
309 |
309 |
$979.21 |
| D1206 |
Topical application of fluoride varnish |
29 |
29 |
$840.00 |
| 0001A |
|
159 |
159 |
$542.45 |
| 81000 |
|
137 |
137 |
$488.70 |
| 99188 |
|
32 |
32 |
$422.08 |
| 69210 |
|
452 |
447 |
$406.46 |
| 96161 |
|
171 |
170 |
$404.60 |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
424 |
415 |
$258.75 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
13 |
13 |
$257.79 |
| 90716 |
|
328 |
328 |
$200.70 |
| 90657 |
|
89 |
89 |
$160.00 |
| 90744 |
|
86 |
86 |
$107.10 |
| 90647 |
|
272 |
272 |
$107.10 |
| 90715 |
|
99 |
99 |
$89.25 |
| 90700 |
|
53 |
53 |
$89.25 |
| 99173 |
|
2,081 |
2,072 |
$88.26 |
| 36415 |
Collection of venous blood by venipuncture |
733 |
732 |
$84.81 |
| 90707 |
|
305 |
305 |
$71.40 |
| 90674 |
|
95 |
95 |
$34.18 |
| 90686 |
|
272 |
272 |
$16.16 |
| 99001 |
|
1,553 |
1,505 |
$11.55 |
| 90681 |
|
179 |
178 |
$0.00 |
| 91300 |
|
760 |
725 |
$0.00 |
| 90649 |
|
161 |
161 |
$0.00 |
| 90734 |
|
51 |
51 |
$0.00 |
| 90672 |
|
55 |
55 |
$0.00 |
| 99080 |
|
33 |
13 |
$0.00 |
| 87070 |
|
1,086 |
1,044 |
$0.00 |
| 3008F |
|
2,840 |
2,838 |
$0.00 |
| 87430 |
|
393 |
387 |
$0.00 |
| 86769 |
|
426 |
417 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |
| 86804 |
|
227 |
223 |
$0.00 |
| 90688 |
|
67 |
67 |
$0.00 |
| 90696 |
|
101 |
101 |
$0.00 |
| 90620 |
|
34 |
34 |
$0.00 |