| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,179 |
10,240 |
$1.25M |
| 99199 |
Unlisted special service, procedure or report |
138,567 |
93,476 |
$686K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,124 |
7,596 |
$579K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,171 |
2,511 |
$264K |
| 99215 |
Prolong outpt/office vis |
1,963 |
1,703 |
$259K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,844 |
2,106 |
$240K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,187 |
1,835 |
$187K |
| 92587 |
|
7,546 |
5,694 |
$172K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,590 |
8,264 |
$143K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,927 |
3,887 |
$82K |
| 96127 |
|
10,622 |
8,394 |
$73K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,846 |
2,221 |
$72K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
849 |
629 |
$62K |
| 99408 |
|
2,843 |
2,231 |
$61K |
| 99407 |
|
2,866 |
2,241 |
$46K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,484 |
1,272 |
$46K |
| 36410 |
|
3,830 |
3,096 |
$40K |
| 96160 |
|
3,891 |
2,813 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,486 |
1,271 |
$20K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
241 |
217 |
$5K |
| 90474 |
|
249 |
194 |
$4K |
| 96161 |
|
1,279 |
921 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
234 |
178 |
$2K |
| 36406 |
|
129 |
122 |
$1K |
| 90461 |
|
94 |
71 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$183.69 |
| 99173 |
|
2,817 |
2,098 |
$180.51 |
| 81003 |
|
25 |
25 |
$69.25 |
| 99172 |
|
4,446 |
3,607 |
$0.00 |
| 90686 |
|
814 |
725 |
$0.00 |
| 90647 |
|
262 |
215 |
$0.00 |
| 90680 |
|
251 |
194 |
$0.00 |
| 90698 |
|
39 |
28 |
$0.00 |
| 90723 |
|
26 |
25 |
$0.00 |
| 90685 |
|
36 |
35 |
$0.00 |
| 90734 |
|
416 |
314 |
$0.00 |
| 90670 |
|
710 |
585 |
$0.00 |
| 90658 |
|
46 |
45 |
$0.00 |
| 90649 |
|
316 |
219 |
$0.00 |
| 90633 |
|
74 |
68 |
$0.00 |
| 90671 |
|
97 |
73 |
$0.00 |
| 90687 |
|
173 |
99 |
$0.00 |
| 90715 |
|
15 |
12 |
$0.00 |