| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,142 |
25,333 |
$2.48M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,060 |
6,383 |
$591K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
6,098 |
5,261 |
$427K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,097 |
3,810 |
$351K |
| T1015 |
Clinic visit/encounter, all-inclusive |
3,642 |
2,467 |
$261K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,740 |
2,571 |
$237K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,780 |
1,683 |
$154K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,037 |
972 |
$91K |
| 99051 |
|
1,087 |
932 |
$17K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
147 |
127 |
$7K |
| 99381 |
|
91 |
79 |
$7K |
| 99050 |
|
725 |
652 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$1K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
12 |
$942.60 |
| 81002 |
|
1,032 |
903 |
$273.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,409 |
6,878 |
$227.70 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,935 |
4,577 |
$223.25 |
| 92551 |
|
1,462 |
1,318 |
$84.09 |
| 92552 |
|
2,849 |
2,716 |
$21.34 |
| 99173 |
|
4,567 |
4,269 |
$17.17 |
| 90677 |
|
341 |
275 |
$0.68 |
| 90633 |
|
1,762 |
1,631 |
$0.38 |
| 90680 |
|
1,478 |
1,379 |
$0.31 |
| 90696 |
|
318 |
298 |
$0.04 |
| 90710 |
|
343 |
319 |
$0.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,421 |
1,334 |
$0.00 |
| 90744 |
|
1,014 |
954 |
$0.00 |
| 85018 |
|
1,898 |
1,751 |
$0.00 |
| 96127 |
|
1,248 |
1,167 |
$0.00 |
| 90474 |
|
1,484 |
1,383 |
$0.00 |
| 36416 |
|
243 |
224 |
$0.00 |
| 90698 |
|
1,940 |
1,850 |
$0.00 |
| 90651 |
|
577 |
532 |
$0.00 |
| 87428 |
|
172 |
165 |
$0.00 |
| 90686 |
|
642 |
595 |
$0.00 |
| 96161 |
|
1,413 |
1,254 |
$0.00 |
| 87807 |
|
1,439 |
1,296 |
$0.00 |
| 90697 |
|
231 |
181 |
$0.00 |
| 90716 |
|
224 |
211 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
139 |
136 |
$0.00 |
| 90619 |
|
153 |
148 |
$0.00 |
| 94760 |
|
16 |
15 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
214 |
205 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,871 |
2,505 |
$0.00 |
| 90715 |
|
319 |
295 |
$0.00 |
| 99401 |
|
1,067 |
975 |
$0.00 |
| 90670 |
|
2,140 |
2,020 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,076 |
2,625 |
$0.00 |
| 90734 |
|
219 |
198 |
$0.00 |
| 90707 |
|
292 |
266 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,623 |
1,412 |
$0.00 |
| 90700 |
|
59 |
46 |
$0.00 |
| 90648 |
|
46 |
42 |
$0.00 |
| 99188 |
|
53 |
42 |
$0.00 |
| 90621 |
|
14 |
12 |
$0.00 |