| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,112 |
9,406 |
$955K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,337 |
9,882 |
$682K |
| 99215 |
Prolong outpt/office vis |
530 |
475 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
652 |
642 |
$59K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
595 |
590 |
$54K |
| 99499 |
|
1,874 |
1,843 |
$41K |
| 99429 |
|
1,874 |
1,844 |
$39K |
| 90686 |
|
1,776 |
1,761 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
235 |
214 |
$19K |
| D0120 |
Periodic oral evaluation - established patient |
1,513 |
1,490 |
$17K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,528 |
1,505 |
$16K |
| 90688 |
|
1,139 |
1,131 |
$14K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
92 |
89 |
$12K |
| 96127 |
|
2,995 |
1,870 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
70 |
70 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,931 |
2,897 |
$7K |
| 99173 |
|
3,070 |
3,035 |
$5K |
| 92552 |
|
138 |
138 |
$3K |
| 90480 |
|
40 |
39 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
72 |
71 |
$1K |
| 90670 |
|
68 |
65 |
$835.52 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
720 |
714 |
$635.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,220 |
6,082 |
$484.89 |
| 36416 |
|
225 |
221 |
$452.64 |
| 99188 |
|
47 |
46 |
$438.52 |
| 94760 |
|
436 |
421 |
$363.11 |
| 90698 |
|
25 |
24 |
$310.14 |
| 90744 |
|
12 |
12 |
$237.54 |
| 90461 |
|
1,100 |
1,074 |
$184.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$165.20 |
| 99177 |
|
76 |
75 |
$153.94 |
| 83718 |
|
13 |
13 |
$109.77 |
| 96161 |
|
27 |
26 |
$71.44 |
| 82465 |
|
14 |
14 |
$62.82 |