| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
12,190 |
12,076 |
$261K |
| 97802 |
|
7,182 |
7,085 |
$248K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,452 |
3,398 |
$99K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,521 |
8,298 |
$99K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,018 |
12,855 |
$94K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,239 |
1,220 |
$88K |
| D1206 |
Topical application of fluoride varnish |
3,830 |
3,782 |
$87K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,024 |
1,988 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,018 |
3,967 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,031 |
3,985 |
$18K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,592 |
2,565 |
$16K |
| 99460 |
|
220 |
217 |
$12K |
| 99188 |
|
574 |
564 |
$12K |
| 99381 |
|
144 |
141 |
$12K |
| 90698 |
|
3,506 |
3,474 |
$8K |
| 90670 |
|
4,373 |
4,342 |
$7K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
167 |
161 |
$7K |
| 90680 |
|
2,610 |
2,589 |
$7K |
| 86580 |
|
1,390 |
1,369 |
$5K |
| 90744 |
|
2,331 |
2,308 |
$4K |
| 99173 |
|
600 |
593 |
$3K |
| 90633 |
|
2,342 |
2,324 |
$1K |
| 90686 |
|
2,216 |
2,212 |
$966.19 |
| 99383 |
|
40 |
37 |
$854.29 |
| 90649 |
|
1,369 |
1,354 |
$753.75 |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$694.32 |
| 90734 |
|
1,190 |
1,179 |
$636.75 |
| 92552 |
|
906 |
890 |
$629.85 |
| 90716 |
|
1,154 |
1,145 |
$540.00 |
| 90710 |
|
880 |
866 |
$452.43 |
| 90707 |
|
1,110 |
1,102 |
$432.00 |
| 99384 |
|
13 |
13 |
$410.71 |
| 90715 |
|
824 |
817 |
$404.10 |
| T1014 |
Telehealth transmission, per minute, professional services bill separately |
49 |
49 |
$402.32 |
| 90648 |
|
781 |
769 |
$387.81 |
| 90620 |
|
862 |
853 |
$370.08 |
| 90696 |
|
809 |
799 |
$369.81 |
| 90700 |
|
821 |
807 |
$351.27 |
| 90619 |
|
491 |
490 |
$310.00 |
| 90651 |
|
697 |
696 |
$273.24 |
| 90677 |
|
54 |
54 |
$234.00 |
| 94760 |
|
61 |
59 |
$17.77 |
| 90685 |
|
12 |
12 |
$9.00 |
| 90713 |
|
16 |
16 |
$0.00 |