| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 97802 |
|
6,774 |
6,741 |
$236K |
| 92081 |
|
3,868 |
3,853 |
$150K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,287 |
7,154 |
$133K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,215 |
3,936 |
$60K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,190 |
2,139 |
$57K |
| 69210 |
|
1,336 |
1,328 |
$47K |
| D1206 |
Topical application of fluoride varnish |
1,847 |
1,842 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,967 |
10,070 |
$35K |
| Q3014 |
Telehealth originating site facility fee |
918 |
860 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
261 |
260 |
$19K |
| 99173 |
|
3,011 |
2,991 |
$11K |
| 97803 |
|
292 |
289 |
$9K |
| 99188 |
|
395 |
394 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,410 |
4,991 |
$8K |
| G9920 |
Screening performed and negative |
201 |
201 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
657 |
641 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,822 |
2,814 |
$2K |
| 83655 |
|
147 |
147 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,412 |
3,403 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,158 |
2,141 |
$1K |
| 92551 |
|
7,660 |
7,604 |
$1K |
| 96127 |
|
137 |
137 |
$793.39 |
| 99383 |
|
122 |
121 |
$343.24 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
28 |
28 |
$270.60 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
17 |
17 |
$224.67 |
| 90688 |
|
1,169 |
1,164 |
$205.79 |
| 99215 |
Prolong outpt/office vis |
37 |
37 |
$149.78 |
| 90700 |
|
1,051 |
1,044 |
$68.20 |
| 90715 |
|
472 |
470 |
$54.50 |
| 90680 |
|
248 |
243 |
$41.20 |
| 90670 |
|
1,129 |
1,116 |
$38.60 |
| 90620 |
|
789 |
786 |
$38.49 |
| 90698 |
|
259 |
253 |
$37.08 |
| 94760 |
|
435 |
409 |
$33.55 |
| 90686 |
|
709 |
703 |
$32.96 |
| 90633 |
|
683 |
678 |
$29.31 |
| 90707 |
|
479 |
476 |
$21.07 |
| 90647 |
|
433 |
432 |
$18.00 |
| 90713 |
|
700 |
693 |
$18.00 |
| 90696 |
|
48 |
48 |
$16.48 |
| 90651 |
|
671 |
662 |
$12.83 |
| 90710 |
|
218 |
217 |
$4.12 |
| 90734 |
|
263 |
262 |
$4.12 |
| 90716 |
|
469 |
466 |
$0.00 |
| 90744 |
|
234 |
229 |
$0.00 |
| 90685 |
|
140 |
140 |
$0.00 |
| 90648 |
|
54 |
53 |
$0.00 |