| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,733 |
14,268 |
$1.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,764 |
5,675 |
$749K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,683 |
5,191 |
$687K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,626 |
5,295 |
$681K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,593 |
13,130 |
$667K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,251 |
3,205 |
$416K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,433 |
1,410 |
$195K |
| 96127 |
|
4,224 |
3,882 |
$88K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,307 |
3,200 |
$80K |
| 99173 |
|
5,430 |
5,329 |
$39K |
| 36416 |
|
10,263 |
10,056 |
$34K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,297 |
1,208 |
$32K |
| 92551 |
|
4,251 |
4,163 |
$26K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
463 |
446 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,117 |
1,054 |
$12K |
| 94760 |
|
5,176 |
4,724 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
701 |
331 |
$7K |
| 0071A |
|
115 |
112 |
$4K |
| 99177 |
|
183 |
180 |
$4K |
| 87081 |
|
536 |
498 |
$3K |
| 83655 |
|
245 |
244 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
51 |
51 |
$3K |
| 90686 |
|
6,689 |
6,522 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
61 |
61 |
$2K |
| 96161 |
|
77 |
75 |
$2K |
| D1206 |
Topical application of fluoride varnish |
61 |
61 |
$1K |
| 0072A |
|
24 |
24 |
$880.00 |
| 85018 |
|
10,089 |
9,894 |
$702.86 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
378 |
374 |
$666.03 |
| 99188 |
|
25 |
25 |
$620.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
24 |
$535.68 |
| 90656 |
|
738 |
719 |
$178.80 |
| 81002 |
|
44 |
39 |
$26.84 |
| 99000 |
|
1,494 |
1,398 |
$0.00 |
| 90723 |
|
515 |
497 |
$0.00 |
| 90697 |
|
226 |
221 |
$0.00 |
| 91307 |
|
357 |
284 |
$0.00 |
| 90680 |
|
372 |
362 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90619 |
|
16 |
15 |
$0.00 |
| 90648 |
|
1,644 |
1,607 |
$0.00 |
| 90671 |
|
699 |
692 |
$0.00 |
| 90685 |
|
254 |
253 |
$0.00 |
| 90670 |
|
1,707 |
1,675 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90633 |
|
94 |
94 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |