| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,220 |
19,070 |
$1.41M |
| 99199 |
Unlisted special service, procedure or report |
117,041 |
63,706 |
$707K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,422 |
2,048 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,211 |
1,959 |
$229K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,374 |
1,923 |
$215K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,950 |
1,720 |
$180K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,485 |
7,602 |
$168K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,521 |
1,337 |
$154K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,186 |
3,754 |
$139K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,632 |
1,424 |
$61K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,771 |
1,531 |
$44K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,502 |
3,751 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,799 |
2,493 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,989 |
1,784 |
$27K |
| D0145 |
Oral evaluation for a patient under three years of age |
551 |
482 |
$21K |
| 96127 |
|
4,245 |
3,796 |
$18K |
| 90474 |
|
507 |
419 |
$10K |
| D1206 |
Topical application of fluoride varnish |
552 |
483 |
$9K |
| 99051 |
|
357 |
351 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
70 |
57 |
$7K |
| 90651 |
|
381 |
319 |
$7K |
| 92551 |
|
1,438 |
1,173 |
$4K |
| 81003 |
|
1,212 |
939 |
$3K |
| 96161 |
|
678 |
554 |
$2K |
| 90734 |
|
134 |
111 |
$2K |
| 90686 |
|
2,642 |
2,377 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
166 |
154 |
$2K |
| 87807 |
|
122 |
104 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
93 |
68 |
$2K |
| 83718 |
|
144 |
135 |
$1K |
| 92587 |
|
1,330 |
1,301 |
$1K |
| 82465 |
|
145 |
136 |
$721.38 |
| 99401 |
|
28 |
16 |
$532.32 |
| 90633 |
|
497 |
409 |
$419.88 |
| 86308 |
|
64 |
55 |
$408.34 |
| 81025 |
|
31 |
24 |
$228.62 |
| 99173 |
|
3,242 |
2,975 |
$196.66 |
| 90715 |
|
78 |
72 |
$173.00 |
| 90716 |
|
73 |
65 |
$124.91 |
| 85018 |
|
25 |
24 |
$59.60 |
| 90744 |
|
338 |
291 |
$26.61 |
| 90656 |
|
88 |
85 |
$0.29 |
| 90648 |
|
144 |
144 |
$0.00 |
| 90670 |
|
1,396 |
1,237 |
$0.00 |
| 90710 |
|
128 |
105 |
$0.00 |
| 90713 |
|
238 |
237 |
$0.00 |
| 90700 |
|
365 |
359 |
$0.00 |
| 90707 |
|
67 |
67 |
$0.00 |
| 90685 |
|
26 |
26 |
$0.00 |
| 90680 |
|
519 |
431 |
$0.00 |
| 90698 |
|
832 |
698 |
$0.00 |
| 90677 |
|
61 |
61 |
$0.00 |
| 90619 |
|
104 |
86 |
$0.00 |