| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,750 |
7,934 |
$899K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,882 |
1,798 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,665 |
1,441 |
$227K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,403 |
8,703 |
$217K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,191 |
1,073 |
$170K |
| 90834 |
Psychotherapy, 45 minutes with patient |
1,863 |
1,016 |
$147K |
| 90461 |
|
3,968 |
3,679 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
855 |
823 |
$126K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
393 |
366 |
$25K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
674 |
621 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
86 |
80 |
$13K |
| 0072A |
|
158 |
151 |
$11K |
| 0002A |
|
136 |
135 |
$10K |
| 0071A |
|
168 |
127 |
$9K |
| 96127 |
|
984 |
872 |
$7K |
| 99173 |
|
2,320 |
2,191 |
$7K |
| 0001A |
|
121 |
92 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
272 |
256 |
$4K |
| 0082A |
|
33 |
33 |
$2K |
| 99174 |
|
166 |
164 |
$2K |
| 90480 |
|
53 |
28 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
27 |
26 |
$1K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
56 |
51 |
$1K |
| 0012A |
|
15 |
15 |
$1K |
| 99177 |
|
96 |
95 |
$991.70 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$767.76 |
| D1206 |
Topical application of fluoride varnish |
25 |
25 |
$684.00 |
| 0011A |
|
18 |
18 |
$583.56 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$164.40 |
| 85018 |
|
44 |
41 |
$101.93 |
| 90686 |
|
2,944 |
2,684 |
$0.00 |
| 90647 |
|
101 |
94 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90723 |
|
194 |
173 |
$0.00 |
| 90680 |
|
75 |
67 |
$0.00 |
| 96161 |
|
31 |
30 |
$0.00 |
| 90670 |
|
439 |
391 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
86 |
74 |
$0.00 |
| 90658 |
|
107 |
93 |
$0.00 |
| 90661 |
|
86 |
67 |
$0.00 |