| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19,444 |
16,956 |
$944K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
20,062 |
17,017 |
$641K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,754 |
6,583 |
$511K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,783 |
5,716 |
$444K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,172 |
4,377 |
$364K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,920 |
4,182 |
$332K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,758 |
10,932 |
$169K |
| D0190 |
|
11,116 |
9,622 |
$146K |
| 96127 |
|
11,225 |
9,632 |
$142K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,682 |
1,483 |
$127K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,654 |
3,886 |
$114K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
8,666 |
7,619 |
$68K |
| 99173 |
|
9,290 |
7,966 |
$61K |
| 99174 |
|
3,580 |
2,893 |
$44K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
244 |
233 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
918 |
633 |
$17K |
| 90670 |
|
4,182 |
3,385 |
$17K |
| H0025 |
Behavioral health prevention education service (delivery of services with target population to affect knowledge, attitude and/or behavior) |
199 |
186 |
$16K |
| H0002 |
Behavioral health screening to determine eligibility for admission to treatment program |
116 |
116 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
251 |
243 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
849 |
732 |
$11K |
| 83655 |
|
1,095 |
869 |
$10K |
| D1206 |
Topical application of fluoride varnish |
775 |
576 |
$8K |
| 94760 |
|
7,215 |
6,450 |
$8K |
| 90480 |
|
165 |
145 |
$8K |
| 90651 |
|
362 |
344 |
$6K |
| 0071A |
|
116 |
115 |
$6K |
| 90686 |
|
6,897 |
5,597 |
$5K |
| 90698 |
|
3,083 |
2,541 |
$5K |
| 85018 |
|
2,574 |
2,130 |
$5K |
| 0072A |
|
94 |
93 |
$5K |
| 90680 |
|
2,510 |
2,057 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
241 |
223 |
$4K |
| 0002A |
|
89 |
86 |
$4K |
| 0001A |
|
85 |
82 |
$3K |
| 90461 |
|
9,417 |
7,996 |
$3K |
| 90677 |
|
664 |
651 |
$3K |
| 97802 |
|
61 |
54 |
$3K |
| 0240U |
|
15 |
14 |
$2K |
| 90688 |
|
3,376 |
3,275 |
$2K |
| 94664 |
|
131 |
125 |
$2K |
| 90734 |
|
68 |
63 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
31 |
31 |
$1K |
| 90700 |
|
969 |
699 |
$972.29 |
| 90633 |
|
1,027 |
857 |
$937.42 |
| 90744 |
|
1,311 |
1,137 |
$777.12 |
| 36416 |
|
5,316 |
4,353 |
$611.49 |
| 90710 |
|
45 |
41 |
$582.64 |
| 90716 |
|
101 |
85 |
$498.00 |
| 90473 |
|
17 |
17 |
$335.75 |
| 90715 |
|
28 |
26 |
$259.10 |
| 90707 |
|
89 |
73 |
$197.10 |
| 90656 |
|
277 |
276 |
$174.26 |
| 99000 |
|
1,804 |
1,467 |
$151.04 |
| 90713 |
|
62 |
58 |
$92.74 |
| 90648 |
|
58 |
37 |
$21.01 |
| 91300 |
|
192 |
179 |
$0.05 |
| 90685 |
|
845 |
392 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
75 |
74 |
$0.00 |
| 90672 |
|
35 |
35 |
$0.00 |
| H0023 |
Behavioral health outreach service (planned approach to reach a targeted population) |
34 |
34 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 90658 |
|
42 |
42 |
$0.00 |
| 91307 |
|
279 |
269 |
$0.00 |