| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99051 |
|
5,628 |
4,902 |
$418K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,716 |
4,369 |
$412K |
| 96156 |
|
2,850 |
2,751 |
$291K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,618 |
8,089 |
$248K |
| 90670 |
|
1,442 |
1,319 |
$234K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,885 |
1,882 |
$208K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,335 |
2,221 |
$203K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,038 |
2,025 |
$192K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,751 |
1,557 |
$153K |
| 90651 |
|
752 |
746 |
$144K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,024 |
6,123 |
$109K |
| 92552 |
|
4,991 |
4,961 |
$104K |
| G9920 |
Screening performed and negative |
3,068 |
3,002 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,092 |
1,000 |
$72K |
| 90680 |
|
751 |
673 |
$68K |
| 90734 |
|
493 |
490 |
$65K |
| 90686 |
|
2,619 |
2,589 |
$65K |
| 96150 |
|
2,880 |
2,718 |
$64K |
| 90723 |
|
812 |
734 |
$61K |
| 90620 |
|
358 |
358 |
$61K |
| D1206 |
Topical application of fluoride varnish |
2,739 |
2,606 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
377 |
364 |
$47K |
| 94010 |
|
1,479 |
1,459 |
$44K |
| 90647 |
|
1,431 |
1,311 |
$42K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
828 |
793 |
$42K |
| 94016 |
|
1,442 |
1,424 |
$41K |
| 90716 |
|
324 |
311 |
$41K |
| 80061 |
Lipid panel |
1,771 |
1,763 |
$25K |
| 90707 |
|
307 |
294 |
$23K |
| 99173 |
|
4,765 |
4,743 |
$19K |
| 90715 |
|
468 |
466 |
$18K |
| 94664 |
|
1,343 |
1,328 |
$16K |
| 85018 |
|
5,997 |
5,889 |
$15K |
| 87430 |
|
1,216 |
1,171 |
$15K |
| 81000 |
|
5,047 |
4,992 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,965 |
1,878 |
$13K |
| 90633 |
|
264 |
250 |
$12K |
| 90685 |
|
173 |
142 |
$6K |
| 97802 |
|
82 |
81 |
$2K |
| 86580 |
|
332 |
305 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,215 |
6,009 |
$2K |
| 90698 |
|
12 |
12 |
$1K |
| 90696 |
|
12 |
12 |
$747.12 |
| 90656 |
|
26 |
26 |
$27.53 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$0.00 |