| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,206 |
19,635 |
$1.75M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,521 |
23,670 |
$1.46M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,641 |
9,406 |
$819K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,168 |
8,126 |
$747K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,706 |
4,676 |
$427K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,650 |
2,604 |
$224K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
909 |
479 |
$148K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,289 |
1,272 |
$139K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
890 |
878 |
$87K |
| 90688 |
|
5,816 |
5,787 |
$76K |
| 90698 |
|
6,336 |
6,278 |
$69K |
| 90670 |
|
6,424 |
6,374 |
$69K |
| 99243 |
|
780 |
764 |
$57K |
| 94010 |
|
2,302 |
2,236 |
$46K |
| 90680 |
|
3,523 |
3,490 |
$38K |
| 99174 |
|
4,346 |
4,319 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,565 |
3,109 |
$27K |
| 99381 |
|
260 |
257 |
$24K |
| 92552 |
|
1,273 |
1,268 |
$24K |
| 90685 |
|
1,733 |
1,720 |
$24K |
| 95117 |
|
3,836 |
1,788 |
$23K |
| D0120 |
Periodic oral evaluation - established patient |
930 |
913 |
$23K |
| 92551 |
|
3,414 |
3,385 |
$23K |
| 90744 |
|
2,215 |
2,190 |
$23K |
| 90633 |
|
1,990 |
1,975 |
$21K |
| D1206 |
Topical application of fluoride varnish |
999 |
976 |
$18K |
| 90686 |
|
1,458 |
1,437 |
$18K |
| 96127 |
|
2,626 |
2,557 |
$9K |
| 95115 |
|
1,653 |
845 |
$9K |
| 99173 |
|
4,503 |
4,467 |
$7K |
| 90651 |
|
636 |
631 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
379 |
377 |
$5K |
| 99383 |
|
38 |
38 |
$4K |
| 99215 |
Prolong outpt/office vis |
32 |
32 |
$4K |
| 95810 |
Polysomnography; sleep staging with 4 or more additional parameters |
50 |
50 |
$3K |
| 90710 |
|
319 |
319 |
$3K |
| 90734 |
|
373 |
368 |
$3K |
| 94060 |
|
82 |
82 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,346 |
3,315 |
$2K |
| 90461 |
|
2,527 |
2,510 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
161 |
$2K |
| 90715 |
|
240 |
238 |
$2K |
| 90696 |
|
175 |
172 |
$2K |
| 94760 |
|
6,090 |
5,949 |
$2K |
| 90707 |
|
104 |
104 |
$1K |
| 90716 |
|
93 |
93 |
$961.41 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$864.61 |
| 95076 |
|
12 |
12 |
$846.03 |
| 95782 |
|
13 |
12 |
$825.32 |
| 81002 |
|
41 |
40 |
$116.18 |
| 99051 |
|
184 |
182 |
$0.00 |