| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,698 |
30,979 |
$2.29M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,100 |
11,522 |
$1.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,069 |
6,025 |
$581K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,352 |
5,320 |
$501K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,467 |
2,448 |
$249K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,719 |
2,659 |
$243K |
| 99429 |
|
4,394 |
4,356 |
$124K |
| 92551 |
|
16,459 |
16,297 |
$122K |
| 99499 |
|
3,998 |
3,964 |
$111K |
| 96127 |
|
22,849 |
20,346 |
$90K |
| 90686 |
|
5,506 |
5,470 |
$89K |
| D0120 |
Periodic oral evaluation - established patient |
2,394 |
2,332 |
$60K |
| D9999 |
Unspecified adjunctive procedure, by report |
2,403 |
2,344 |
$56K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,096 |
1,083 |
$45K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
337 |
337 |
$31K |
| 90670 |
|
2,095 |
2,078 |
$27K |
| 90688 |
|
2,043 |
2,029 |
$26K |
| 99173 |
|
15,246 |
15,127 |
$26K |
| 90648 |
|
1,138 |
1,131 |
$14K |
| 90680 |
|
1,000 |
992 |
$13K |
| 90633 |
|
671 |
658 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
511 |
503 |
$8K |
| 99215 |
Prolong outpt/office vis |
62 |
56 |
$8K |
| 36416 |
|
2,713 |
2,592 |
$7K |
| D1206 |
Topical application of fluoride varnish |
333 |
325 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
970 |
953 |
$6K |
| 0071A |
|
144 |
144 |
$6K |
| 99177 |
|
434 |
431 |
$6K |
| 90723 |
|
445 |
442 |
$5K |
| 0002A |
|
120 |
120 |
$5K |
| 0072A |
|
119 |
119 |
$5K |
| 0001A |
|
116 |
115 |
$5K |
| 90651 |
|
463 |
461 |
$5K |
| 90685 |
|
328 |
327 |
$4K |
| 90734 |
|
314 |
312 |
$3K |
| 90480 |
|
65 |
63 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
42 |
39 |
$2K |
| 90696 |
|
163 |
163 |
$2K |
| 90700 |
|
140 |
138 |
$2K |
| 90710 |
|
155 |
155 |
$1K |
| 87081 |
|
185 |
180 |
$1K |
| 90707 |
|
99 |
99 |
$1K |
| 85018 |
|
445 |
444 |
$1K |
| 90697 |
|
51 |
51 |
$1K |
| 90715 |
|
115 |
114 |
$1K |
| 83655 |
|
70 |
70 |
$947.73 |
| 90716 |
|
75 |
75 |
$869.27 |
| 17110 |
|
12 |
12 |
$804.54 |
| 83718 |
|
109 |
108 |
$779.96 |
| 81002 |
|
249 |
237 |
$759.21 |
| 90620 |
|
66 |
66 |
$724.46 |
| 90677 |
|
27 |
27 |
$568.25 |
| 0054A |
|
12 |
12 |
$515.20 |
| 82465 |
|
107 |
106 |
$401.40 |
| 99188 |
|
27 |
27 |
$351.93 |
| 96161 |
|
306 |
295 |
$325.73 |
| 90698 |
|
27 |
27 |
$301.09 |
| 90619 |
|
14 |
14 |
$291.98 |
| 91321 |
|
15 |
14 |
$172.66 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$136.20 |
| 94760 |
|
96 |
87 |
$46.94 |
| 99072 |
|
2,400 |
2,316 |
$0.00 |
| 99000 |
|
89 |
83 |
$0.00 |