| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,341 |
22,586 |
$2.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,104 |
24,186 |
$1.95M |
| 99199 |
Unlisted special service, procedure or report |
245,139 |
124,020 |
$1.17M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,491 |
4,924 |
$493K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,693 |
4,134 |
$422K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,794 |
4,254 |
$412K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,776 |
2,383 |
$269K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,720 |
6,164 |
$257K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,444 |
9,522 |
$205K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,503 |
10,837 |
$167K |
| 96127 |
|
20,464 |
17,553 |
$108K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,083 |
10,076 |
$89K |
| 99215 |
Prolong outpt/office vis |
639 |
535 |
$82K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,409 |
2,218 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,142 |
872 |
$43K |
| 90474 |
|
2,084 |
1,953 |
$41K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
547 |
465 |
$36K |
| D1206 |
Topical application of fluoride varnish |
2,246 |
2,094 |
$35K |
| 99051 |
|
674 |
664 |
$17K |
| 92551 |
|
10,902 |
9,593 |
$15K |
| 96161 |
|
4,185 |
3,762 |
$14K |
| 99173 |
|
10,917 |
9,606 |
$8K |
| 81002 |
|
2,026 |
1,731 |
$5K |
| 95117 |
|
441 |
214 |
$4K |
| 69210 |
|
88 |
73 |
$3K |
| 96112 |
|
26 |
26 |
$3K |
| 85018 |
|
1,226 |
1,053 |
$3K |
| 94664 |
|
141 |
133 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
78 |
67 |
$1K |
| 96111 |
|
13 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$132.34 |
| 2014F |
|
17 |
15 |
$20.00 |
| 96160 |
|
41 |
40 |
$7.48 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
12 |
12 |
$6.60 |
| 90696 |
|
284 |
244 |
$3.53 |
| 90685 |
|
331 |
321 |
$0.00 |
| 90670 |
|
3,077 |
2,881 |
$0.00 |
| 90707 |
|
766 |
678 |
$0.00 |
| 90633 |
|
1,600 |
1,442 |
$0.00 |
| 90710 |
|
365 |
332 |
$0.00 |
| 90671 |
|
413 |
403 |
$0.00 |
| 90700 |
|
69 |
62 |
$0.00 |
| 90715 |
|
113 |
98 |
$0.00 |
| 90621 |
|
67 |
54 |
$0.00 |
| 90734 |
|
456 |
385 |
$0.00 |
| 90647 |
|
2,556 |
2,411 |
$0.00 |
| 90651 |
|
356 |
302 |
$0.00 |
| 90723 |
|
2,562 |
2,413 |
$0.00 |
| 90680 |
|
2,079 |
1,958 |
$0.00 |
| 90686 |
|
724 |
688 |
$0.00 |
| J1094 |
Injection, dexamethasone acetate, 1 mg |
84 |
68 |
$0.00 |
| 90716 |
|
753 |
665 |
$0.00 |