| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,383 |
11,596 |
$962K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,393 |
6,585 |
$865K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,729 |
2,728 |
$283K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,106 |
2,103 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,726 |
1,629 |
$167K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,870 |
7,846 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
598 |
597 |
$68K |
| 99215 |
Prolong outpt/office vis |
239 |
216 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,797 |
1,776 |
$22K |
| 92551 |
|
2,535 |
2,533 |
$14K |
| 81002 |
|
4,204 |
4,153 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,403 |
1,392 |
$9K |
| 96127 |
|
837 |
813 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
893 |
865 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
135 |
132 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
355 |
$5K |
| 85018 |
|
2,161 |
2,160 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
219 |
211 |
$3K |
| 0071A |
|
63 |
63 |
$2K |
| 83655 |
|
161 |
161 |
$2K |
| 99188 |
|
128 |
128 |
$2K |
| 0072A |
|
29 |
29 |
$1K |
| 94664 |
|
69 |
57 |
$808.58 |
| 87807 |
|
60 |
58 |
$777.65 |
| 99173 |
|
2,359 |
2,349 |
$591.17 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
46 |
38 |
$523.88 |
| D1206 |
Topical application of fluoride varnish |
15 |
15 |
$450.00 |
| G0008 |
Administration of influenza virus vaccine |
60 |
60 |
$300.00 |
| 90651 |
|
198 |
198 |
$279.00 |
| 90686 |
|
765 |
765 |
$234.54 |
| 96161 |
|
188 |
172 |
$155.25 |
| 90688 |
|
2,592 |
2,592 |
$140.72 |
| 96160 |
|
246 |
244 |
$135.94 |
| 99177 |
|
122 |
122 |
$3.67 |
| 90670 |
|
789 |
789 |
$0.00 |
| 90461 |
|
257 |
257 |
$0.00 |
| 90700 |
|
14 |
14 |
$0.00 |
| 90715 |
|
40 |
40 |
$0.00 |
| 90633 |
|
164 |
164 |
$0.00 |
| 90734 |
|
50 |
50 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90710 |
|
36 |
36 |
$0.00 |
| 90671 |
|
16 |
16 |
$0.00 |
| 90698 |
|
474 |
474 |
$0.00 |
| 90680 |
|
255 |
255 |
$0.00 |
| 99174 |
|
167 |
167 |
$0.00 |
| 90696 |
|
25 |
25 |
$0.00 |
| 90744 |
|
200 |
200 |
$0.00 |
| 90619 |
|
39 |
39 |
$0.00 |
| 90656 |
|
129 |
129 |
$0.00 |
| 94760 |
|
86 |
71 |
$0.00 |