| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
97,158 |
61,062 |
$5.20M |
| T1015 |
Clinic visit/encounter, all-inclusive |
89,593 |
46,958 |
$2.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,581 |
9,477 |
$1.28M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,656 |
4,883 |
$522K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,488 |
3,583 |
$381K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,680 |
3,685 |
$366K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,774 |
14,276 |
$228K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,146 |
8,338 |
$211K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,925 |
1,891 |
$195K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,663 |
8,151 |
$162K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
11,497 |
4,213 |
$160K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,646 |
1,067 |
$113K |
| 97112 |
Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination |
2,674 |
614 |
$84K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,896 |
1,108 |
$50K |
| D9999 |
Unspecified adjunctive procedure, by report |
683 |
336 |
$26K |
| 92523 |
|
158 |
96 |
$16K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
403 |
263 |
$12K |
| 87807 |
|
779 |
408 |
$7K |
| 83655 |
|
442 |
248 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
66 |
29 |
$3K |
| 0072A |
|
124 |
69 |
$3K |
| D0210 |
Intraoral - complete series of radiographic images |
74 |
30 |
$3K |
| 69210 |
|
73 |
60 |
$3K |
| 0071A |
|
120 |
67 |
$3K |
| 90474 |
|
103 |
49 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
18 |
$1K |
| 90832 |
Psychotherapy, 30 minutes with patient |
47 |
39 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
169 |
101 |
$1K |
| 85018 |
|
495 |
296 |
$989.97 |
| 90670 |
|
3,206 |
1,992 |
$949.51 |
| D0145 |
Oral evaluation for a patient under three years of age |
16 |
16 |
$530.37 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
52 |
31 |
$441.60 |
| 90686 |
|
6,756 |
4,596 |
$306.98 |
| 36416 |
|
88 |
66 |
$205.26 |
| 90723 |
|
1,592 |
981 |
$172.51 |
| 94760 |
|
128 |
99 |
$136.68 |
| 81003 |
|
36 |
30 |
$57.58 |
| 90647 |
|
1,729 |
1,048 |
$0.00 |
| 90651 |
|
434 |
277 |
$0.00 |
| 90677 |
|
150 |
122 |
$0.00 |
| 90620 |
|
31 |
12 |
$0.00 |
| 90656 |
|
160 |
146 |
$0.00 |
| 90696 |
|
84 |
48 |
$0.00 |
| 90681 |
|
343 |
204 |
$0.00 |
| 90710 |
|
196 |
132 |
$0.00 |
| 90734 |
|
358 |
211 |
$0.00 |
| 90671 |
|
20 |
12 |
$0.00 |
| 90633 |
|
479 |
300 |
$0.00 |
| 90715 |
|
68 |
51 |
$0.00 |
| 90685 |
|
59 |
51 |
$0.00 |