| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
183,764 |
106,911 |
$1.10M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,058 |
7,551 |
$854K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,591 |
7,878 |
$615K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,776 |
2,299 |
$229K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,036 |
1,785 |
$179K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,642 |
1,328 |
$152K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,337 |
6,365 |
$129K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,186 |
2,725 |
$94K |
| 99215 |
Prolong outpt/office vis |
277 |
241 |
$36K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,330 |
1,190 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
274 |
263 |
$23K |
| 96127 |
|
6,143 |
5,003 |
$23K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,483 |
2,203 |
$19K |
| 99401 |
|
1,159 |
488 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
445 |
442 |
$16K |
| D1206 |
Topical application of fluoride varnish |
1,322 |
1,179 |
$16K |
| 90480 |
|
284 |
277 |
$12K |
| 94664 |
|
1,119 |
1,003 |
$11K |
| 0071A |
|
188 |
156 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
982 |
905 |
$10K |
| 0072A |
|
144 |
126 |
$9K |
| 92551 |
|
6,259 |
5,109 |
$7K |
| 94375 |
|
236 |
215 |
$7K |
| 0054A |
|
152 |
115 |
$6K |
| 99173 |
|
6,319 |
5,130 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
168 |
162 |
$2K |
| 0074A |
|
72 |
57 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
23 |
15 |
$469.50 |
| 91305 |
|
293 |
227 |
$181.43 |
| 90655 |
|
472 |
436 |
$15.37 |
| 90620 |
|
97 |
68 |
$0.00 |
| 90686 |
|
639 |
623 |
$0.00 |
| 91307 |
|
600 |
484 |
$0.00 |
| 90716 |
|
216 |
196 |
$0.00 |
| 91319 |
|
68 |
68 |
$0.00 |
| 91318 |
|
15 |
15 |
$0.00 |
| 90670 |
|
335 |
318 |
$0.00 |
| 90700 |
|
1,024 |
908 |
$0.00 |
| 90648 |
|
183 |
179 |
$0.00 |
| 90649 |
|
632 |
501 |
$0.00 |
| 90658 |
|
2,611 |
2,305 |
$0.00 |
| 90633 |
|
262 |
248 |
$0.00 |
| 90713 |
|
319 |
300 |
$0.00 |
| 90734 |
|
212 |
135 |
$0.00 |
| 90707 |
|
49 |
45 |
$0.00 |
| 91308 |
|
96 |
75 |
$0.00 |
| 91320 |
|
111 |
105 |
$0.00 |
| 90685 |
|
61 |
59 |
$0.00 |
| 90715 |
|
94 |
65 |
$0.00 |
| 90710 |
|
16 |
12 |
$0.00 |