| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,896 |
31,616 |
$2.53M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,225 |
9,151 |
$919K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,176 |
8,989 |
$860K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,256 |
6,116 |
$635K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,047 |
6,005 |
$596K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
2,235 |
2,225 |
$288K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
3,599 |
3,558 |
$217K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,715 |
1,694 |
$186K |
| 90686 |
|
5,291 |
5,253 |
$79K |
| 90698 |
|
5,047 |
4,985 |
$69K |
| 90670 |
|
4,695 |
4,635 |
$63K |
| 92551 |
|
5,341 |
5,286 |
$38K |
| 90680 |
|
2,695 |
2,672 |
$36K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,634 |
3,182 |
$35K |
| 99243 |
|
374 |
372 |
$33K |
| 99177 |
|
5,058 |
4,995 |
$32K |
| 90688 |
|
3,008 |
2,959 |
$32K |
| 96127 |
|
6,034 |
5,843 |
$31K |
| 90633 |
|
1,417 |
1,396 |
$19K |
| 90744 |
|
1,440 |
1,430 |
$19K |
| 90671 |
|
1,142 |
1,139 |
$18K |
| 95117 |
|
1,945 |
1,072 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
334 |
$13K |
| 96161 |
|
4,787 |
4,695 |
$10K |
| 90480 |
|
254 |
249 |
$9K |
| 99381 |
|
82 |
81 |
$9K |
| 99173 |
|
4,701 |
4,649 |
$8K |
| 94010 |
|
452 |
444 |
$8K |
| 90651 |
|
438 |
432 |
$6K |
| 0071A |
|
127 |
127 |
$5K |
| 90697 |
|
464 |
462 |
$5K |
| 90656 |
|
674 |
661 |
$4K |
| 90710 |
|
267 |
264 |
$4K |
| 90696 |
|
175 |
173 |
$3K |
| 95115 |
|
482 |
256 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
26 |
26 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
159 |
$3K |
| 90734 |
|
184 |
182 |
$2K |
| 0072A |
|
53 |
53 |
$2K |
| 95024 |
|
46 |
46 |
$2K |
| 99493 |
|
13 |
13 |
$2K |
| 99245 |
|
13 |
13 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
118 |
$2K |
| 99215 |
Prolong outpt/office vis |
14 |
14 |
$2K |
| 99383 |
|
14 |
14 |
$2K |
| 90716 |
|
101 |
101 |
$1K |
| D0120 |
Periodic oral evaluation - established patient |
42 |
42 |
$1K |
| 90707 |
|
73 |
73 |
$1K |
| 0001A |
|
29 |
29 |
$1K |
| 96160 |
|
468 |
457 |
$1K |
| 92552 |
|
57 |
57 |
$1K |
| 0002A |
|
26 |
26 |
$1K |
| D1206 |
Topical application of fluoride varnish |
45 |
45 |
$931.53 |
| 90674 |
|
44 |
44 |
$821.49 |
| 99499 |
|
24 |
24 |
$706.98 |
| 90715 |
|
53 |
53 |
$680.96 |
| 0154A |
|
14 |
14 |
$588.00 |
| 0081A |
|
14 |
14 |
$546.00 |
| 0073A |
|
13 |
13 |
$544.00 |
| 0083A |
|
12 |
12 |
$500.00 |
| 54150 |
|
13 |
13 |
$388.62 |
| 69210 |
|
12 |
12 |
$381.19 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
39 |
$357.60 |
| 99188 |
|
26 |
26 |
$331.86 |
| 96380 |
|
21 |
20 |
$294.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$174.72 |
| 81002 |
|
43 |
43 |
$138.41 |
| 95012 |
|
12 |
12 |
$132.08 |
| 94760 |
|
37 |
36 |
$34.93 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
17 |
15 |
$19.54 |
| 90381 |
|
14 |
13 |
$0.14 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
80 |
53 |
$0.00 |
| 1159F |
|
1,836 |
1,747 |
$0.00 |
| 99072 |
|
1,793 |
1,737 |
$0.00 |
| 1160F |
|
674 |
650 |
$0.00 |
| 90461 |
|
16 |
13 |
$0.00 |