| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,961 |
5,293 |
$389K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,370 |
3,249 |
$308K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,592 |
2,424 |
$243K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,586 |
2,488 |
$235K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,426 |
6,153 |
$232K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,852 |
2,773 |
$94K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
817 |
779 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,191 |
1,168 |
$51K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,085 |
990 |
$38K |
| 99215 |
Prolong outpt/office vis |
276 |
260 |
$33K |
| D1206 |
Topical application of fluoride varnish |
983 |
947 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,656 |
1,581 |
$21K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
218 |
$21K |
| 92551 |
|
1,720 |
1,652 |
$18K |
| 99381 |
|
176 |
167 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,062 |
545 |
$13K |
| 96161 |
|
2,105 |
1,994 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
685 |
616 |
$9K |
| 99173 |
|
2,172 |
2,095 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
90 |
90 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
194 |
$8K |
| 90461 |
|
466 |
445 |
$7K |
| 87807 |
|
587 |
545 |
$6K |
| 83655 |
|
550 |
512 |
$6K |
| 90670 |
|
2,369 |
2,322 |
$3K |
| 0071A |
|
82 |
79 |
$3K |
| 0072A |
|
69 |
68 |
$2K |
| 99051 |
|
115 |
109 |
$2K |
| 87428 |
|
48 |
48 |
$1K |
| 0001A |
|
40 |
40 |
$1K |
| 90716 |
|
905 |
879 |
$1K |
| 0002A |
|
37 |
37 |
$1K |
| 90707 |
|
918 |
892 |
$825.73 |
| 90686 |
|
1,932 |
1,861 |
$691.81 |
| 96160 |
|
242 |
184 |
$688.31 |
| 90677 |
|
127 |
126 |
$567.44 |
| 90651 |
|
57 |
55 |
$455.86 |
| 36415 |
Collection of venous blood by venipuncture |
62 |
60 |
$340.50 |
| 90647 |
|
1,465 |
1,434 |
$320.83 |
| 96127 |
|
66 |
66 |
$238.98 |
| 87420 |
|
19 |
19 |
$237.88 |
| 90633 |
|
1,329 |
1,281 |
$22.00 |
| 90723 |
|
1,480 |
1,462 |
$0.00 |
| 90680 |
|
1,600 |
1,577 |
$0.00 |
| 90656 |
|
39 |
39 |
$0.00 |
| 90744 |
|
164 |
161 |
$0.00 |
| 90696 |
|
151 |
145 |
$0.00 |
| 90698 |
|
396 |
385 |
$0.00 |
| 36416 |
|
111 |
95 |
$0.00 |
| 91307 |
|
87 |
84 |
$0.00 |
| 90700 |
|
156 |
148 |
$0.00 |
| 90685 |
|
60 |
59 |
$0.00 |
| 91300 |
|
42 |
37 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |