| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
903 |
839 |
$59K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
739 |
701 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
287 |
271 |
$28K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
280 |
261 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
151 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
110 |
104 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
225 |
215 |
$9K |
| 92567 |
|
557 |
521 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
486 |
462 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
337 |
157 |
$3K |
| 92587 |
|
184 |
178 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
398 |
385 |
$3K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
118 |
113 |
$3K |
| D1206 |
Topical application of fluoride varnish |
34 |
33 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 87807 |
|
97 |
94 |
$1K |
| 99050 |
|
57 |
56 |
$739.59 |
| 94010 |
|
24 |
17 |
$495.72 |
| 93000 |
|
13 |
12 |
$158.99 |
| 99188 |
|
13 |
13 |
$147.60 |
| 94760 |
|
78 |
76 |
$110.99 |
| 99000 |
|
323 |
316 |
$0.63 |
| 90713 |
|
165 |
160 |
$0.00 |
| 90670 |
|
101 |
97 |
$0.00 |
| 90700 |
|
226 |
222 |
$0.00 |
| 90633 |
|
48 |
47 |
$0.00 |
| 90648 |
|
104 |
100 |
$0.00 |
| 90707 |
|
43 |
42 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90716 |
|
31 |
30 |
$0.00 |
| 90686 |
|
87 |
82 |
$0.00 |