| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,243 |
15,315 |
$913K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,017 |
10,296 |
$750K |
| T1015 |
Clinic visit/encounter, all-inclusive |
2,404 |
2,215 |
$133K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,442 |
1,418 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,028 |
969 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
282 |
282 |
$27K |
| 90686 |
|
2,019 |
1,990 |
$21K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
405 |
403 |
$11K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
334 |
330 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
588 |
582 |
$9K |
| 99215 |
Prolong outpt/office vis |
55 |
51 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
104 |
103 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
77 |
77 |
$4K |
| 96127 |
|
1,183 |
996 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
98 |
97 |
$4K |
| 99499 |
|
229 |
228 |
$3K |
| 90670 |
|
455 |
451 |
$3K |
| 90688 |
|
246 |
242 |
$3K |
| D0120 |
Periodic oral evaluation - established patient |
282 |
257 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
32 |
25 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
926 |
868 |
$2K |
| 90648 |
|
352 |
349 |
$2K |
| 90672 |
|
152 |
150 |
$2K |
| 90461 |
|
37 |
37 |
$2K |
| 90685 |
|
153 |
150 |
$1K |
| 0002A |
|
34 |
34 |
$1K |
| 0001A |
|
32 |
32 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
74 |
$1K |
| D9999 |
Unspecified adjunctive procedure, by report |
118 |
101 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
201 |
197 |
$1K |
| D1206 |
Topical application of fluoride varnish |
66 |
57 |
$460.24 |
| 11721 |
|
52 |
52 |
$454.15 |
| 90633 |
|
80 |
80 |
$418.67 |
| 99173 |
|
65 |
65 |
$362.24 |
| 90680 |
|
38 |
38 |
$347.70 |
| 90697 |
|
28 |
28 |
$334.73 |
| 93000 |
|
39 |
36 |
$314.60 |
| 99188 |
|
42 |
42 |
$310.69 |
| 83655 |
|
26 |
24 |
$301.89 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
33 |
32 |
$289.26 |
| 90723 |
|
37 |
37 |
$263.42 |
| 90473 |
|
12 |
12 |
$231.48 |
| 99429 |
|
27 |
27 |
$110.32 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
15 |
14 |
$74.70 |
| 93018 |
|
13 |
12 |
$68.20 |
| 90710 |
|
27 |
26 |
$41.40 |
| 96161 |
|
13 |
12 |
$3.50 |
| 99072 |
|
1,062 |
990 |
$0.00 |