| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,767 |
19,891 |
$1.39M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,514 |
3,349 |
$365K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,927 |
3,582 |
$356K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,047 |
2,948 |
$303K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,872 |
14,068 |
$288K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,168 |
2,021 |
$220K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,542 |
8,915 |
$153K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,334 |
6,068 |
$115K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
839 |
774 |
$79K |
| 96127 |
|
4,614 |
4,230 |
$71K |
| 36416 |
|
14,733 |
13,948 |
$45K |
| 87428 |
|
544 |
501 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
990 |
907 |
$9K |
| 99188 |
|
314 |
282 |
$6K |
| 83655 |
|
383 |
363 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
167 |
159 |
$4K |
| D1206 |
Topical application of fluoride varnish |
167 |
159 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
75 |
68 |
$3K |
| 90474 |
|
178 |
172 |
$2K |
| 87420 |
|
148 |
134 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
12 |
$128.40 |
| 90677 |
|
348 |
340 |
$0.10 |
| 90686 |
|
6,313 |
5,931 |
$0.01 |
| 90697 |
|
269 |
264 |
$0.00 |
| 90723 |
|
542 |
530 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90651 |
|
361 |
342 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 97802 |
|
68 |
67 |
$0.00 |
| 90619 |
|
33 |
33 |
$0.00 |
| 90647 |
|
131 |
126 |
$0.00 |
| 90620 |
|
110 |
110 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90670 |
|
1,523 |
1,462 |
$0.00 |
| 90633 |
|
953 |
912 |
$0.00 |
| 90681 |
|
191 |
186 |
$0.00 |
| 90685 |
|
387 |
371 |
$0.00 |
| 90671 |
|
28 |
27 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |
| 90734 |
|
99 |
94 |
$0.00 |