| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,656 |
10,714 |
$946K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,753 |
9,338 |
$445K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,599 |
2,412 |
$314K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,083 |
1,004 |
$127K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
933 |
910 |
$124K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,645 |
5,383 |
$120K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
235 |
$31K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,290 |
594 |
$14K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
321 |
293 |
$10K |
| 36416 |
|
1,784 |
1,706 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
487 |
447 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
84 |
$4K |
| 92552 |
|
216 |
203 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
48 |
45 |
$2K |
| 99188 |
|
56 |
56 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
39 |
37 |
$1K |
| 99173 |
|
137 |
131 |
$957.60 |
| D1206 |
Topical application of fluoride varnish |
38 |
37 |
$892.80 |
| 87634 |
|
13 |
13 |
$804.36 |
| 99050 |
|
38 |
37 |
$594.96 |
| 90686 |
|
3,055 |
2,950 |
$496.21 |
| 94760 |
|
171 |
148 |
$253.98 |
| 90671 |
|
94 |
90 |
$0.02 |
| 99000 |
|
503 |
464 |
$0.00 |
| 85018 |
|
1,561 |
1,504 |
$0.00 |
| 90680 |
|
108 |
105 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |
| 90700 |
|
544 |
523 |
$0.00 |
| 90661 |
|
251 |
231 |
$0.00 |
| 90461 |
|
1,961 |
1,876 |
$0.00 |
| 90713 |
|
230 |
217 |
$0.00 |
| 90648 |
|
245 |
238 |
$0.00 |
| 90670 |
|
255 |
245 |
$0.00 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90633 |
|
28 |
27 |
$0.00 |