| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,291 |
12,283 |
$676K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,010 |
5,188 |
$460K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,635 |
4,816 |
$379K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,724 |
3,767 |
$351K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,748 |
2,514 |
$200K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,861 |
1,696 |
$147K |
| D1206 |
Topical application of fluoride varnish |
3,949 |
3,066 |
$103K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,853 |
3,553 |
$96K |
| 96127 |
|
5,734 |
5,201 |
$83K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,593 |
2,566 |
$65K |
| 87428 |
|
917 |
867 |
$58K |
| 90670 |
|
3,623 |
3,163 |
$55K |
| 90686 |
|
4,600 |
4,053 |
$49K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
3,924 |
3,428 |
$46K |
| 90648 |
|
4,193 |
3,550 |
$44K |
| 90723 |
|
3,279 |
2,819 |
$37K |
| 90651 |
|
1,201 |
1,081 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,847 |
1,615 |
$28K |
| 90677 |
|
630 |
438 |
$28K |
| 90716 |
|
1,693 |
1,402 |
$26K |
| 90681 |
|
2,094 |
1,827 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,276 |
534 |
$23K |
| 90707 |
|
1,692 |
1,411 |
$22K |
| 90633 |
|
1,840 |
1,524 |
$20K |
| 83655 |
|
1,578 |
1,331 |
$18K |
| 90734 |
|
954 |
828 |
$17K |
| 99173 |
|
1,706 |
1,512 |
$12K |
| 0071A |
|
227 |
222 |
$9K |
| 99381 |
|
98 |
93 |
$9K |
| 0072A |
|
207 |
205 |
$8K |
| 90656 |
|
464 |
451 |
$8K |
| 90620 |
|
355 |
312 |
$6K |
| 90715 |
|
388 |
330 |
$5K |
| 90696 |
|
401 |
341 |
$4K |
| 90700 |
|
472 |
370 |
$4K |
| 85018 |
|
1,630 |
1,366 |
$4K |
| 90685 |
|
433 |
347 |
$4K |
| 87807 |
|
141 |
135 |
$1K |
| 99460 |
|
26 |
25 |
$1K |
| 91318 |
|
58 |
51 |
$952.47 |
| 91320 |
|
54 |
43 |
$918.92 |
| 0081A |
|
12 |
12 |
$501.60 |
| 90380 |
|
28 |
28 |
$467.88 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
15 |
14 |
$444.75 |
| 91319 |
|
23 |
22 |
$384.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
21 |
21 |
$206.01 |
| 91307 |
|
180 |
164 |
$42.14 |
| 91308 |
|
13 |
13 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
15 |
$0.00 |