| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,315 |
15,966 |
$344K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,230 |
5,833 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29,969 |
27,650 |
$74K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
588 |
578 |
$25K |
| 81002 |
|
8,856 |
8,684 |
$23K |
| 99173 |
|
4,149 |
4,094 |
$17K |
| 99000 |
|
2,671 |
2,589 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,497 |
4,379 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
113 |
$9K |
| 0071A |
|
210 |
210 |
$8K |
| 0072A |
|
203 |
203 |
$8K |
| D1206 |
Topical application of fluoride varnish |
314 |
309 |
$8K |
| 0001A |
|
168 |
168 |
$7K |
| 0002A |
|
166 |
166 |
$7K |
| 99406 |
|
417 |
417 |
$5K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
382 |
382 |
$5K |
| 87430 |
|
542 |
538 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
476 |
238 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,807 |
6,738 |
$2K |
| 99188 |
|
74 |
73 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,933 |
3,877 |
$1K |
| 0003A |
|
35 |
35 |
$1K |
| 90688 |
|
2,565 |
2,560 |
$1K |
| 90670 |
|
4,143 |
4,083 |
$788.25 |
| 90648 |
|
4,444 |
4,384 |
$787.50 |
| 0124A |
|
18 |
18 |
$720.00 |
| 99460 |
|
12 |
12 |
$674.02 |
| 0081A |
|
15 |
15 |
$600.00 |
| 0082A |
|
14 |
14 |
$560.00 |
| 0083A |
|
13 |
13 |
$520.00 |
| 92552 |
|
7,168 |
7,083 |
$484.57 |
| 0073A |
|
12 |
12 |
$480.00 |
| 99462 |
|
14 |
13 |
$450.32 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
945 |
945 |
$384.16 |
| 90651 |
|
130 |
130 |
$366.00 |
| 90723 |
|
1,001 |
985 |
$330.75 |
| 90656 |
|
257 |
256 |
$219.00 |
| 90681 |
|
484 |
476 |
$198.00 |
| 90680 |
|
493 |
493 |
$51.75 |
| 90700 |
|
588 |
569 |
$42.75 |
| 90677 |
|
185 |
185 |
$18.00 |
| 94760 |
|
660 |
628 |
$17.57 |
| 90685 |
|
992 |
989 |
$15.75 |
| 90696 |
|
41 |
41 |
$0.00 |
| 90716 |
|
55 |
51 |
$0.00 |
| 90633 |
|
907 |
898 |
$0.00 |
| 90707 |
|
56 |
52 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
25 |
24 |
$0.00 |
| 90710 |
|
53 |
53 |
$0.00 |