| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,334 |
3,010 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,885 |
1,735 |
$156K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,896 |
1,744 |
$155K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,361 |
3,017 |
$150K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,661 |
1,561 |
$145K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,323 |
2,084 |
$144K |
| 99199 |
Unlisted special service, procedure or report |
31,879 |
31,116 |
$104K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
493 |
$49K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,097 |
1,033 |
$37K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,074 |
1,000 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,841 |
1,749 |
$34K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
585 |
461 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,862 |
2,612 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,074 |
1,000 |
$16K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
677 |
535 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
566 |
286 |
$8K |
| 90461 |
|
1,868 |
1,665 |
$5K |
| 90474 |
|
235 |
228 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
122 |
106 |
$4K |
| 83655 |
|
240 |
196 |
$1K |
| 99442 |
|
17 |
17 |
$819.06 |
| 81003 |
|
454 |
400 |
$599.21 |
| 97802 |
|
23 |
12 |
$597.62 |
| 85018 |
|
1,778 |
1,693 |
$571.14 |
| 90686 |
|
1,187 |
1,110 |
$475.55 |
| 92551 |
|
1,032 |
926 |
$427.70 |
| 99173 |
|
2,637 |
2,476 |
$372.60 |
| 90734 |
|
70 |
58 |
$263.96 |
| 90651 |
|
83 |
75 |
$245.70 |
| 90670 |
|
1,595 |
1,499 |
$217.66 |
| 96127 |
|
51 |
51 |
$153.00 |
| 96161 |
|
38 |
38 |
$149.34 |
| 92552 |
|
357 |
347 |
$65.60 |
| 90715 |
|
14 |
13 |
$38.93 |
| 90633 |
|
308 |
291 |
$36.61 |
| 36416 |
|
39 |
34 |
$3.22 |
| 90744 |
|
474 |
450 |
$0.00 |
| 90680 |
|
611 |
570 |
$0.00 |
| 90723 |
|
270 |
268 |
$0.00 |
| 90698 |
|
1,042 |
933 |
$0.00 |
| 90647 |
|
262 |
259 |
$0.00 |
| 90634 |
|
22 |
16 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 90696 |
|
31 |
26 |
$0.00 |
| 90681 |
|
67 |
65 |
$0.00 |
| 90700 |
|
42 |
37 |
$0.00 |
| 90685 |
|
68 |
67 |
$0.00 |
| 90710 |
|
46 |
39 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |