| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,391 |
17,578 |
$1.32M |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
8,151 |
7,673 |
$339K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,825 |
9,550 |
$206K |
| 99401 |
|
5,431 |
5,395 |
$140K |
| 92587 |
|
5,080 |
5,060 |
$118K |
| 92552 |
|
5,036 |
5,028 |
$113K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,929 |
4,923 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,212 |
1,212 |
$96K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
968 |
968 |
$85K |
| 94010 |
|
2,957 |
2,944 |
$82K |
| 96116 |
|
1,746 |
1,742 |
$72K |
| 86580 |
|
5,152 |
5,147 |
$31K |
| 93000 |
|
1,765 |
1,761 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
303 |
302 |
$23K |
| D1206 |
Topical application of fluoride varnish |
884 |
878 |
$23K |
| 92567 |
|
1,714 |
1,463 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
211 |
208 |
$18K |
| 36000 |
|
819 |
815 |
$18K |
| 92551 |
|
1,825 |
1,820 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,982 |
1,954 |
$15K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
767 |
758 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
107 |
107 |
$10K |
| 90461 |
|
502 |
499 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
665 |
388 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
6,531 |
6,502 |
$7K |
| 99188 |
|
724 |
724 |
$7K |
| 81003 |
|
3,370 |
3,354 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
998 |
991 |
$6K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
264 |
264 |
$5K |
| 99173 |
|
3,694 |
3,688 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
38 |
38 |
$3K |
| 99050 |
|
239 |
233 |
$3K |
| 90688 |
|
503 |
503 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
142 |
120 |
$2K |
| 90686 |
|
1,900 |
1,894 |
$2K |
| 90651 |
|
168 |
168 |
$1K |
| 90716 |
|
28 |
28 |
$1K |
| 90672 |
|
537 |
536 |
$705.06 |
| 90707 |
|
28 |
28 |
$516.52 |
| 90621 |
|
400 |
399 |
$246.70 |
| 90744 |
|
43 |
43 |
$61.54 |
| A4208 |
Syringe with needle, sterile 3 cc, each |
107 |
105 |
$30.36 |
| A4927 |
Gloves, non-sterile, per 100 |
31 |
31 |
$3.72 |
| 90713 |
|
69 |
69 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
268 |
268 |
$0.00 |
| 90734 |
|
56 |
55 |
$0.00 |
| 90700 |
|
114 |
114 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
1,331 |
1,326 |
$0.00 |
| 90660 |
|
36 |
36 |
$0.00 |
| 90656 |
|
204 |
204 |
$0.00 |