| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,767 |
7,352 |
$538K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,437 |
3,218 |
$334K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,395 |
3,137 |
$293K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,091 |
4,894 |
$247K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,260 |
2,212 |
$209K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,450 |
4,364 |
$66K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
704 |
686 |
$64K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,048 |
994 |
$42K |
| 90837 |
Psychotherapy, 53 minutes with patient |
114 |
71 |
$12K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,056 |
1,010 |
$12K |
| 90677 |
|
652 |
644 |
$11K |
| 90670 |
|
803 |
785 |
$10K |
| D0145 |
Oral evaluation for a patient under three years of age |
326 |
323 |
$10K |
| 90461 |
|
3,055 |
2,981 |
$9K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
337 |
333 |
$7K |
| 90832 |
Psychotherapy, 30 minutes with patient |
138 |
95 |
$6K |
| T1017 |
Targeted case management, each 15 minutes |
682 |
255 |
$6K |
| D1206 |
Topical application of fluoride varnish |
347 |
338 |
$6K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
135 |
131 |
$5K |
| 90723 |
|
657 |
644 |
$3K |
| 99173 |
|
501 |
484 |
$3K |
| 90686 |
|
1,235 |
1,211 |
$2K |
| 99174 |
|
229 |
222 |
$2K |
| 90680 |
|
398 |
392 |
$2K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
14 |
14 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
16 |
$2K |
| 90710 |
|
67 |
65 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96127 |
|
67 |
62 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
20 |
12 |
$981.69 |
| 90648 |
|
1,287 |
1,265 |
$955.67 |
| 90656 |
|
403 |
398 |
$746.76 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
15 |
15 |
$461.92 |
| 96380 |
|
12 |
12 |
$236.56 |
| 94760 |
|
44 |
39 |
$102.05 |
| 90633 |
|
39 |
38 |
$41.67 |
| 85018 |
|
13 |
12 |
$28.44 |
| 99000 |
|
60 |
55 |
$14.06 |
| 36416 |
|
241 |
234 |
$10.16 |
| 96161 |
|
50 |
48 |
$3.63 |
| 99051 |
|
223 |
222 |
$0.00 |