| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,219 |
21,449 |
$758K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
21,124 |
20,859 |
$569K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,651 |
5,595 |
$394K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,780 |
4,676 |
$343K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,260 |
8,170 |
$328K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,101 |
13,922 |
$280K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,571 |
3,545 |
$240K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,812 |
3,695 |
$192K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,111 |
1,105 |
$71K |
| D1206 |
Topical application of fluoride varnish |
3,631 |
3,614 |
$60K |
| 87428 |
|
1,505 |
1,462 |
$57K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,257 |
1,224 |
$42K |
| 92551 |
|
3,296 |
3,274 |
$39K |
| 92552 |
|
2,869 |
2,848 |
$37K |
| 99173 |
|
6,346 |
6,289 |
$27K |
| 96161 |
|
590 |
544 |
$12K |
| 87430 |
|
814 |
801 |
$8K |
| 99383 |
|
52 |
48 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
406 |
201 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
795 |
782 |
$5K |
| 0071A |
|
108 |
107 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
156 |
153 |
$4K |
| 0072A |
|
77 |
77 |
$3K |
| 99381 |
|
29 |
28 |
$3K |
| 87400 |
|
440 |
211 |
$2K |
| 96127 |
|
877 |
874 |
$2K |
| 99382 |
|
12 |
12 |
$1K |
| 90480 |
|
81 |
74 |
$1K |
| 96380 |
|
74 |
67 |
$1K |
| 87807 |
|
112 |
110 |
$1K |
| 87420 |
|
105 |
104 |
$901.19 |
| 0054A |
|
18 |
18 |
$680.00 |
| 90686 |
|
3,662 |
3,618 |
$40.61 |
| 91307 |
|
264 |
246 |
$40.00 |
| 90381 |
|
33 |
28 |
$2.00 |
| 90744 |
|
250 |
247 |
$1.00 |
| 90680 |
|
1,463 |
1,445 |
$0.03 |
| 90670 |
|
2,573 |
2,543 |
$0.00 |
| 90671 |
|
838 |
825 |
$0.00 |
| 90633 |
|
317 |
315 |
$0.00 |
| 90685 |
|
686 |
675 |
$0.00 |
| 90734 |
|
41 |
41 |
$0.00 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90710 |
|
40 |
39 |
$0.00 |
| 91321 |
|
12 |
12 |
$0.00 |
| 90698 |
|
1,069 |
1,053 |
$0.00 |
| 90656 |
|
291 |
291 |
$0.00 |
| 90697 |
|
842 |
827 |
$0.00 |
| 90696 |
|
42 |
41 |
$0.00 |
| 90651 |
|
78 |
78 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 91305 |
|
20 |
20 |
$0.00 |