| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,900 |
12,536 |
$858K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,620 |
3,486 |
$332K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,610 |
7,190 |
$243K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,482 |
2,375 |
$239K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,603 |
2,500 |
$230K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,727 |
1,685 |
$155K |
| 92552 |
|
3,073 |
2,960 |
$65K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
591 |
581 |
$59K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,391 |
1,328 |
$49K |
| D1206 |
Topical application of fluoride varnish |
1,876 |
1,779 |
$45K |
| 99381 |
|
331 |
319 |
$35K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,977 |
1,921 |
$21K |
| 96127 |
|
3,486 |
3,317 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
179 |
163 |
$15K |
| 99173 |
|
4,103 |
3,966 |
$11K |
| 36410 |
|
1,247 |
1,203 |
$11K |
| 90697 |
|
673 |
594 |
$8K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
276 |
269 |
$7K |
| 83655 |
|
1,150 |
1,090 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
578 |
555 |
$4K |
| 81002 |
|
1,356 |
1,319 |
$4K |
| 96161 |
|
278 |
267 |
$2K |
| 92551 |
|
285 |
282 |
$2K |
| 87400 |
|
343 |
332 |
$2K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
54 |
54 |
$2K |
| 90671 |
|
417 |
334 |
$2K |
| 85018 |
|
1,089 |
1,023 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 0071A |
|
32 |
29 |
$1K |
| 90381 |
|
18 |
18 |
$800.00 |
| 90380 |
|
13 |
13 |
$600.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$434.96 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$192.14 |
| 99441 |
|
21 |
12 |
$189.45 |
| 90686 |
|
1,029 |
1,001 |
$1.44 |
| 90707 |
|
727 |
679 |
$1.11 |
| 90716 |
|
718 |
671 |
$0.98 |
| 90677 |
|
253 |
253 |
$0.97 |
| 90670 |
|
2,223 |
2,129 |
$0.88 |
| 90647 |
|
1,311 |
1,263 |
$0.66 |
| 90651 |
|
211 |
202 |
$0.34 |
| 90656 |
|
92 |
92 |
$0.12 |
| 90685 |
|
74 |
69 |
$0.04 |
| 90715 |
|
14 |
12 |
$0.01 |
| 90680 |
|
2,031 |
1,926 |
$0.00 |
| 90723 |
|
1,363 |
1,321 |
$0.00 |
| 90696 |
|
65 |
64 |
$0.00 |
| 90633 |
|
1,237 |
1,163 |
$0.00 |
| 90734 |
|
49 |
45 |
$0.00 |
| 90700 |
|
90 |
84 |
$0.00 |
| 90710 |
|
29 |
29 |
$0.00 |
| 90672 |
|
64 |
63 |
$0.00 |