| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,922 |
8,832 |
$328K |
| D1206 |
Topical application of fluoride varnish |
5,547 |
5,482 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,523 |
6,094 |
$42K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,381 |
2,376 |
$25K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
670 |
664 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,259 |
1,220 |
$15K |
| 99381 |
|
244 |
240 |
$13K |
| 99460 |
|
209 |
205 |
$12K |
| 99173 |
|
2,616 |
2,602 |
$11K |
| 99462 |
|
225 |
188 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,202 |
3,187 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,283 |
2,276 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,057 |
1,051 |
$3K |
| 86580 |
|
869 |
861 |
$3K |
| G2012 |
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion |
163 |
157 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
909 |
909 |
$760.00 |
| 90620 |
|
211 |
211 |
$166.00 |
| 92551 |
|
2,614 |
2,599 |
$135.76 |
| 90734 |
|
574 |
573 |
$123.00 |
| 90686 |
|
3,692 |
3,685 |
$81.08 |
| 90710 |
|
619 |
618 |
$53.38 |
| 90716 |
|
671 |
669 |
$46.35 |
| 90680 |
|
1,445 |
1,441 |
$37.08 |
| 90698 |
|
2,303 |
2,294 |
$37.08 |
| 90670 |
|
2,309 |
2,301 |
$35.96 |
| 90696 |
|
602 |
601 |
$27.54 |
| 90651 |
|
875 |
875 |
$0.00 |
| 90744 |
|
1,072 |
1,069 |
$0.00 |
| 90633 |
|
1,352 |
1,349 |
$0.00 |
| 90707 |
|
679 |
677 |
$0.00 |
| 90715 |
|
257 |
257 |
$0.00 |
| 90685 |
|
169 |
169 |
$0.00 |