| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,214 |
5,870 |
$712K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,295 |
2,142 |
$338K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,370 |
946 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,420 |
981 |
$148K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,383 |
965 |
$142K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
2,396 |
1,575 |
$120K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
814 |
565 |
$79K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,723 |
2,577 |
$75K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,001 |
1,356 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,867 |
1,302 |
$50K |
| D0145 |
Oral evaluation for a patient under three years of age |
885 |
616 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,283 |
1,475 |
$32K |
| D1206 |
Topical application of fluoride varnish |
885 |
616 |
$14K |
| 87807 |
|
413 |
266 |
$6K |
| 92551 |
|
3,562 |
2,461 |
$5K |
| 90473 |
|
228 |
158 |
$5K |
| 90474 |
|
211 |
153 |
$4K |
| 90734 |
|
151 |
102 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
192 |
140 |
$2K |
| 90651 |
|
198 |
133 |
$1K |
| 90480 |
|
32 |
20 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
91 |
58 |
$906.02 |
| 0071A |
|
17 |
13 |
$857.56 |
| 90686 |
|
1,494 |
1,031 |
$817.01 |
| 90672 |
|
417 |
291 |
$751.72 |
| 99173 |
|
3,555 |
2,455 |
$643.27 |
| 90619 |
|
201 |
136 |
$457.20 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
12 |
$333.76 |
| 99058 |
|
18 |
12 |
$296.48 |
| 81002 |
|
24 |
13 |
$75.60 |
| 90647 |
|
357 |
242 |
$0.00 |
| 90723 |
|
342 |
235 |
$0.00 |
| 90697 |
|
32 |
27 |
$0.00 |
| 90716 |
|
19 |
12 |
$0.00 |
| 91307 |
|
22 |
13 |
$0.00 |
| 90670 |
|
540 |
368 |
$0.00 |
| 90633 |
|
198 |
131 |
$0.00 |
| 90671 |
|
99 |
84 |
$0.00 |
| 90681 |
|
57 |
40 |
$0.00 |