| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,890 |
25,918 |
$694K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,311 |
5,165 |
$300K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
11,559 |
11,347 |
$260K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,401 |
4,317 |
$247K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,732 |
3,615 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,687 |
2,649 |
$149K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,160 |
6,882 |
$98K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,849 |
3,773 |
$64K |
| 90461 |
|
3,891 |
3,853 |
$59K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,362 |
3,245 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,912 |
2,909 |
$35K |
| 99188 |
|
1,244 |
1,244 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
398 |
381 |
$22K |
| 3008F |
|
10,603 |
10,236 |
$22K |
| 90651 |
|
956 |
886 |
$20K |
| 90620 |
|
749 |
709 |
$20K |
| 36415 |
Collection of venous blood by venipuncture |
14,465 |
13,996 |
$19K |
| 90734 |
|
1,002 |
946 |
$16K |
| 90670 |
|
1,117 |
1,073 |
$8K |
| 83655 |
|
669 |
668 |
$7K |
| 0001A |
|
181 |
181 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
166 |
165 |
$7K |
| 90716 |
|
457 |
426 |
$6K |
| 0002A |
|
154 |
154 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
804 |
737 |
$4K |
| 90686 |
|
1,253 |
1,217 |
$4K |
| 90707 |
|
396 |
367 |
$3K |
| 90656 |
|
365 |
365 |
$3K |
| 90688 |
|
1,407 |
1,271 |
$3K |
| 86580 |
|
578 |
559 |
$2K |
| 90619 |
|
21 |
21 |
$2K |
| 90700 |
|
985 |
941 |
$2K |
| 90713 |
|
676 |
648 |
$2K |
| 90671 |
|
15 |
15 |
$2K |
| 90633 |
|
817 |
778 |
$2K |
| 90715 |
|
439 |
402 |
$2K |
| 99381 |
|
24 |
24 |
$2K |
| 96127 |
|
1,193 |
1,193 |
$1K |
| D1206 |
Topical application of fluoride varnish |
1,210 |
1,210 |
$870.00 |
| 99382 |
|
12 |
12 |
$822.23 |
| 90744 |
|
397 |
383 |
$810.94 |
| 90474 |
|
117 |
117 |
$791.12 |
| 90680 |
|
628 |
604 |
$651.66 |
| 90710 |
|
86 |
83 |
$630.00 |
| 90648 |
|
926 |
888 |
$475.06 |
| 99442 |
|
38 |
37 |
$299.77 |
| 96160 |
|
504 |
504 |
$223.23 |
| 99441 |
|
51 |
50 |
$189.02 |
| 90696 |
|
123 |
111 |
$120.07 |
| 85018 |
|
60 |
59 |
$26.60 |
| 90687 |
|
46 |
46 |
$16.62 |
| 91300 |
|
257 |
225 |
$9.00 |
| 99072 |
|
156 |
152 |
$0.00 |
| 90698 |
|
62 |
62 |
$0.00 |
| 97802 |
|
134 |
132 |
$0.00 |