| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,021 |
2,965 |
$255K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,405 |
6,795 |
$233K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,237 |
2,187 |
$202K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,001 |
11,811 |
$199K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,421 |
2,340 |
$198K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,978 |
5,950 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,523 |
1,492 |
$151K |
| 99429 |
|
1,994 |
1,954 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,950 |
2,102 |
$26K |
| 90461 |
|
2,473 |
2,062 |
$17K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
97 |
94 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
315 |
307 |
$4K |
| 99381 |
|
28 |
27 |
$3K |
| 96160 |
|
949 |
931 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
69 |
67 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
49 |
25 |
$749.21 |
| S8301 |
Infection control supplies, not otherwise specified |
67 |
64 |
$540.34 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
300 |
300 |
$235.64 |
| 99051 |
|
14 |
14 |
$225.55 |
| 90686 |
|
1,796 |
1,753 |
$123.97 |
| 99001 |
|
67 |
64 |
$83.16 |
| 90697 |
|
950 |
909 |
$0.17 |
| 90671 |
|
218 |
218 |
$0.06 |
| 90620 |
|
87 |
87 |
$0.01 |
| D1208 |
Topical application of fluoride, excluding varnish |
84 |
84 |
$0.00 |
| 90723 |
|
435 |
429 |
$0.00 |
| 90651 |
|
146 |
146 |
$0.00 |
| 96127 |
|
63 |
62 |
$0.00 |
| 90696 |
|
78 |
76 |
$0.00 |
| 90633 |
|
840 |
825 |
$0.00 |
| 90710 |
|
120 |
120 |
$0.00 |
| 90681 |
|
526 |
514 |
$0.00 |
| 90648 |
|
661 |
649 |
$0.00 |
| 90670 |
|
1,898 |
1,855 |
$0.00 |
| 90734 |
|
317 |
315 |
$0.00 |
| 90715 |
|
115 |
115 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |