| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,202 |
2,353 |
$216K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,169 |
3,126 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,227 |
1,630 |
$158K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,885 |
1,437 |
$121K |
| 96127 |
|
2,723 |
2,293 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,471 |
1,959 |
$44K |
| D1206 |
Topical application of fluoride varnish |
1,123 |
797 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
276 |
245 |
$18K |
| 90698 |
|
1,516 |
1,116 |
$14K |
| 90670 |
|
1,313 |
948 |
$12K |
| 90686 |
|
1,213 |
975 |
$12K |
| 99000 |
|
670 |
433 |
$10K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
201 |
157 |
$9K |
| 96160 |
|
674 |
562 |
$9K |
| 90680 |
|
829 |
604 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
306 |
211 |
$7K |
| 87428 |
|
98 |
85 |
$6K |
| 83655 |
|
501 |
381 |
$6K |
| 99174 |
|
612 |
470 |
$4K |
| 90633 |
|
464 |
307 |
$4K |
| 90744 |
|
494 |
339 |
$4K |
| 36416 |
|
907 |
645 |
$4K |
| 90671 |
|
164 |
137 |
$3K |
| 99381 |
|
28 |
27 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
155 |
135 |
$2K |
| 90656 |
|
119 |
112 |
$2K |
| 85018 |
|
746 |
500 |
$2K |
| 90710 |
|
144 |
109 |
$2K |
| 99173 |
|
217 |
195 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
36 |
$1K |
| 87807 |
|
126 |
75 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
67 |
60 |
$829.16 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
25 |
12 |
$333.50 |
| 90707 |
|
45 |
27 |
$288.00 |
| 90716 |
|
39 |
25 |
$249.60 |
| 99072 |
|
425 |
326 |
$142.50 |
| 94760 |
|
15 |
12 |
$8.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,981 |
2,044 |
$0.35 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$0.00 |
| 90461 |
|
1,760 |
1,215 |
$0.00 |