| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,815 |
3,591 |
$194K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,419 |
2,360 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
967 |
949 |
$74K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
626 |
616 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
514 |
480 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
484 |
469 |
$38K |
| D0190 |
|
2,143 |
2,064 |
$32K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,715 |
1,687 |
$25K |
| 96127 |
|
1,727 |
1,660 |
$23K |
| D0145 |
Oral evaluation for a patient under three years of age |
448 |
439 |
$13K |
| 99173 |
|
1,532 |
1,469 |
$11K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,048 |
1,010 |
$10K |
| 99174 |
|
501 |
487 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
76 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
63 |
58 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
76 |
$3K |
| 94760 |
|
1,491 |
1,391 |
$2K |
| 90670 |
|
370 |
366 |
$924.00 |
| 0072A |
|
16 |
16 |
$800.00 |
| 83655 |
|
68 |
66 |
$793.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
107 |
79 |
$763.88 |
| 90461 |
|
1,284 |
1,258 |
$601.81 |
| 90651 |
|
31 |
30 |
$550.00 |
| 90734 |
|
16 |
14 |
$535.05 |
| 90686 |
|
859 |
822 |
$459.40 |
| 85018 |
|
150 |
146 |
$318.27 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$214.89 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$196.80 |
| 99000 |
|
415 |
381 |
$123.89 |
| 90698 |
|
196 |
193 |
$115.00 |
| 90680 |
|
105 |
102 |
$108.45 |
| 99072 |
|
77 |
72 |
$70.00 |
| 90744 |
|
57 |
54 |
$60.27 |
| 36416 |
|
472 |
448 |
$57.60 |
| 94761 |
|
29 |
26 |
$55.88 |
| 91307 |
|
24 |
21 |
$35.00 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$11.76 |
| 90633 |
|
90 |
90 |
$0.00 |
| 90700 |
|
26 |
26 |
$0.00 |
| 90677 |
|
95 |
91 |
$0.00 |
| 90656 |
|
41 |
41 |
$0.00 |