| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
49,479 |
39,956 |
$3.11M |
| 99199 |
Unlisted special service, procedure or report |
283,652 |
173,266 |
$1.65M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
22,386 |
19,812 |
$855K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,339 |
5,191 |
$585K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,032 |
4,523 |
$459K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,833 |
2,460 |
$258K |
| 87631 |
|
2,946 |
2,238 |
$228K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,975 |
1,688 |
$194K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,083 |
4,450 |
$101K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,377 |
5,640 |
$57K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,668 |
1,544 |
$53K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,217 |
1,060 |
$29K |
| D1206 |
Topical application of fluoride varnish |
1,666 |
1,543 |
$23K |
| 0072A |
|
286 |
241 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
158 |
139 |
$17K |
| 0071A |
|
255 |
221 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
278 |
$13K |
| 90686 |
|
7,618 |
6,642 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
863 |
721 |
$11K |
| 99051 |
|
461 |
390 |
$11K |
| 0002A |
|
152 |
143 |
$9K |
| 0001A |
|
107 |
99 |
$6K |
| 96127 |
|
759 |
646 |
$3K |
| 90651 |
|
76 |
75 |
$3K |
| 96161 |
|
1,261 |
1,080 |
$2K |
| 87081 |
|
289 |
258 |
$2K |
| 92552 |
|
3,286 |
2,845 |
$1K |
| 0052A |
|
24 |
13 |
$1K |
| 0082A |
|
20 |
12 |
$1K |
| 0054A |
|
19 |
12 |
$799.08 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
21 |
13 |
$388.55 |
| 99173 |
|
4,767 |
4,134 |
$380.16 |
| 90656 |
|
654 |
646 |
$221.83 |
| 99000 |
|
7,853 |
5,974 |
$6.50 |
| 90698 |
|
830 |
761 |
$0.00 |
| 4037F |
|
4,448 |
3,744 |
$0.00 |
| 36416 |
|
412 |
367 |
$0.00 |
| 90680 |
|
356 |
317 |
$0.00 |
| 90697 |
|
166 |
125 |
$0.00 |
| 90677 |
|
123 |
120 |
$0.00 |
| 90744 |
|
38 |
38 |
$0.00 |
| 91307 |
|
648 |
529 |
$0.00 |
| 91305 |
|
45 |
27 |
$0.00 |
| 90685 |
|
386 |
380 |
$0.00 |
| 90670 |
|
1,064 |
930 |
$0.00 |
| 91308 |
|
87 |
61 |
$0.00 |
| 91300 |
|
200 |
171 |
$0.00 |
| 99177 |
|
193 |
192 |
$0.00 |
| 90633 |
|
70 |
61 |
$0.00 |