| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27,609 |
22,105 |
$1.31M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,456 |
4,702 |
$386K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,527 |
3,993 |
$355K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,886 |
2,991 |
$278K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,472 |
2,033 |
$163K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,076 |
1,836 |
$157K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,256 |
4,435 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,435 |
3,139 |
$53K |
| 90651 |
|
2,347 |
1,881 |
$45K |
| 90670 |
|
2,060 |
1,571 |
$38K |
| 92558 |
|
3,134 |
2,496 |
$38K |
| 90686 |
|
3,407 |
2,740 |
$32K |
| D1206 |
Topical application of fluoride varnish |
1,133 |
825 |
$29K |
| 96127 |
|
3,627 |
3,114 |
$29K |
| 90633 |
|
2,008 |
1,568 |
$20K |
| 90619 |
|
1,148 |
916 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,026 |
757 |
$18K |
| 90700 |
|
1,469 |
1,082 |
$13K |
| 90680 |
|
1,117 |
874 |
$12K |
| 90647 |
|
1,293 |
996 |
$12K |
| 90723 |
|
1,114 |
811 |
$10K |
| 90734 |
|
740 |
637 |
$10K |
| 90715 |
|
786 |
636 |
$8K |
| 90710 |
|
683 |
508 |
$7K |
| 83655 |
|
606 |
467 |
$7K |
| 90697 |
|
377 |
335 |
$6K |
| 90713 |
|
711 |
477 |
$6K |
| 90671 |
|
135 |
109 |
$5K |
| 90716 |
|
337 |
251 |
$4K |
| 90677 |
|
197 |
166 |
$4K |
| 99381 |
|
44 |
43 |
$4K |
| 90707 |
|
306 |
221 |
$4K |
| 0071A |
|
159 |
122 |
$2K |
| 36416 |
|
556 |
446 |
$2K |
| 85018 |
|
995 |
786 |
$2K |
| 0072A |
|
139 |
113 |
$2K |
| 0002A |
|
50 |
48 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
30 |
30 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
54 |
$2K |
| 0001A |
|
70 |
67 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
31 |
29 |
$2K |
| 99383 |
|
17 |
15 |
$2K |
| 90696 |
|
74 |
67 |
$1K |
| 90623 |
|
19 |
15 |
$267.36 |
| 90648 |
|
41 |
30 |
$262.40 |
| 90656 |
|
26 |
26 |
$217.23 |
| 81002 |
|
61 |
57 |
$150.80 |
| 90461 |
|
1,602 |
1,311 |
$116.41 |
| 90744 |
|
22 |
14 |
$89.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,972 |
3,258 |
$48.59 |
| 97803 |
|
308 |
236 |
$45.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
54 |
52 |
$12.10 |
| 91300 |
|
48 |
39 |
$0.12 |
| 91307 |
|
124 |
108 |
$0.08 |
| 99188 |
|
16 |
16 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$0.00 |