| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,168 |
20,945 |
$844K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,280 |
9,287 |
$578K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,886 |
11,688 |
$550K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,051 |
12,600 |
$453K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,995 |
4,894 |
$369K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,258 |
3,027 |
$229K |
| 87428 |
|
2,461 |
2,354 |
$126K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,237 |
1,214 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,497 |
1,376 |
$27K |
| 92551 |
|
1,992 |
1,925 |
$26K |
| 96161 |
|
1,657 |
1,405 |
$20K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
182 |
176 |
$14K |
| 96127 |
|
2,806 |
2,536 |
$12K |
| 99173 |
|
2,452 |
2,393 |
$11K |
| 0071A |
|
123 |
116 |
$4K |
| 0072A |
|
91 |
88 |
$3K |
| 83655 |
|
273 |
270 |
$3K |
| 96160 |
|
328 |
322 |
$3K |
| 0001A |
|
71 |
68 |
$3K |
| 99381 |
|
43 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
286 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
185 |
91 |
$2K |
| 0002A |
|
55 |
55 |
$2K |
| D1208 |
Topical application of fluoride, excluding varnish |
122 |
119 |
$2K |
| 99382 |
|
14 |
14 |
$980.00 |
| 85018 |
|
663 |
646 |
$875.95 |
| 31720 |
|
20 |
15 |
$815.30 |
| 99072 |
|
1,822 |
1,595 |
$609.66 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$386.88 |
| 94760 |
|
80 |
64 |
$44.80 |
| 90686 |
|
5,881 |
5,600 |
$40.97 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$31.26 |
| 90723 |
|
1,862 |
1,759 |
$0.02 |
| 90647 |
|
1,686 |
1,586 |
$0.00 |
| 90656 |
|
144 |
144 |
$0.00 |
| 90716 |
|
27 |
27 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 91305 |
|
20 |
15 |
$0.00 |
| 99050 |
|
20 |
15 |
$0.00 |
| 90670 |
|
3,026 |
2,864 |
$0.00 |
| 90461 |
|
484 |
390 |
$0.00 |
| 90633 |
|
432 |
423 |
$0.00 |
| 99177 |
|
679 |
653 |
$0.00 |
| 90681 |
|
669 |
627 |
$0.00 |
| 90707 |
|
27 |
27 |
$0.00 |
| 91300 |
|
58 |
49 |
$0.00 |
| 90671 |
|
103 |
103 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90700 |
|
15 |
14 |
$0.00 |