| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,385 |
9,253 |
$849K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,931 |
2,377 |
$298K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,549 |
1,975 |
$221K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,305 |
1,911 |
$207K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,353 |
1,714 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,648 |
1,353 |
$157K |
| 92552 |
|
2,943 |
2,410 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,895 |
2,545 |
$27K |
| 90648 |
|
1,484 |
1,139 |
$26K |
| 90686 |
|
1,386 |
1,113 |
$26K |
| 90670 |
|
953 |
774 |
$17K |
| 90677 |
|
171 |
138 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,059 |
4,770 |
$16K |
| 96127 |
|
3,104 |
2,474 |
$12K |
| 90723 |
|
655 |
527 |
$12K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,258 |
1,038 |
$12K |
| 90734 |
|
519 |
419 |
$10K |
| 90461 |
|
3,052 |
2,094 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
420 |
$8K |
| 90633 |
|
420 |
354 |
$8K |
| 90710 |
|
367 |
314 |
$7K |
| 90651 |
|
334 |
278 |
$7K |
| 99173 |
|
2,328 |
1,908 |
$5K |
| 96160 |
|
2,079 |
1,699 |
$5K |
| 90688 |
|
184 |
154 |
$3K |
| 90658 |
|
142 |
122 |
$3K |
| 90620 |
|
98 |
82 |
$3K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
131 |
66 |
$2K |
| 90680 |
|
126 |
93 |
$2K |
| 90715 |
|
105 |
89 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
101 |
$2K |
| 90681 |
|
78 |
70 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
22 |
12 |
$925.80 |
| 0071A |
|
33 |
23 |
$886.08 |
| 96161 |
|
366 |
260 |
$650.73 |
| 90696 |
|
45 |
40 |
$628.56 |
| 87807 |
|
90 |
66 |
$617.90 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$373.80 |
| 90700 |
|
18 |
16 |
$372.48 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14 |
14 |
$325.92 |
| 99000 |
|
4,245 |
3,190 |
$57.71 |
| 81002 |
|
30 |
24 |
$50.85 |
| 99072 |
|
93 |
81 |
$0.00 |
| 36416 |
|
1,670 |
1,104 |
$0.00 |