| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,767 |
5,966 |
$429K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,647 |
1,549 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,556 |
3,305 |
$138K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,386 |
1,277 |
$132K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,209 |
1,127 |
$100K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
824 |
726 |
$67K |
| 92552 |
|
1,988 |
1,813 |
$46K |
| D0145 |
Oral evaluation for a patient under three years of age |
670 |
653 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
195 |
$20K |
| D1206 |
Topical application of fluoride varnish |
725 |
678 |
$15K |
| 36410 |
|
556 |
501 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
819 |
770 |
$7K |
| 99381 |
|
51 |
51 |
$5K |
| 99173 |
|
2,064 |
1,870 |
$4K |
| 83655 |
|
319 |
308 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
212 |
205 |
$3K |
| 87400 |
|
229 |
223 |
$3K |
| 96127 |
|
1,729 |
1,591 |
$2K |
| 81002 |
|
410 |
356 |
$1K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
39 |
39 |
$737.10 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
18 |
$722.34 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
32 |
27 |
$470.40 |
| 99442 |
|
24 |
13 |
$382.94 |
| 96161 |
|
25 |
25 |
$74.64 |
| 85018 |
|
13 |
13 |
$5.86 |
| 90670 |
|
1,108 |
1,076 |
$2.39 |
| 90686 |
|
574 |
558 |
$2.29 |
| 90647 |
|
648 |
626 |
$1.02 |
| 90656 |
|
34 |
34 |
$0.34 |
| 90685 |
|
71 |
68 |
$0.20 |
| 90633 |
|
434 |
426 |
$0.19 |
| 90655 |
|
14 |
14 |
$0.14 |
| 90716 |
|
176 |
172 |
$0.06 |
| 90707 |
|
177 |
173 |
$0.06 |
| 90697 |
|
134 |
89 |
$0.00 |
| 90723 |
|
658 |
645 |
$0.00 |
| 90680 |
|
825 |
762 |
$0.00 |
| 90651 |
|
40 |
39 |
$0.00 |
| 90696 |
|
26 |
24 |
$0.00 |
| 90671 |
|
168 |
108 |
$0.00 |
| 90672 |
|
22 |
17 |
$0.00 |
| 90734 |
|
29 |
29 |
$0.00 |
| 90700 |
|
15 |
15 |
$0.00 |
| 90621 |
|
12 |
12 |
$0.00 |