| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,828 |
10,336 |
$765K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,016 |
2,790 |
$290K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,878 |
2,722 |
$267K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,620 |
5,920 |
$216K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,889 |
1,818 |
$176K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,111 |
1,896 |
$175K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
4,290 |
3,967 |
$161K |
| D0145 |
Oral evaluation for a patient under three years of age |
5,307 |
4,872 |
$153K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,309 |
1,247 |
$132K |
| 92552 |
|
4,670 |
4,438 |
$107K |
| S9470 |
Nutritional counseling, dietitian visit |
4,391 |
3,977 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,631 |
5,148 |
$59K |
| 90461 |
|
1,216 |
1,142 |
$27K |
| 99381 |
|
242 |
229 |
$24K |
| D1206 |
Topical application of fluoride varnish |
709 |
656 |
$16K |
| 99173 |
|
5,434 |
5,135 |
$13K |
| 92551 |
|
480 |
448 |
$9K |
| 96160 |
|
1,825 |
1,727 |
$5K |
| 99383 |
|
48 |
42 |
$4K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
163 |
155 |
$3K |
| 99384 |
|
13 |
13 |
$2K |
| 85018 |
|
1,277 |
1,079 |
$2K |
| 99050 |
|
96 |
93 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 36410 |
|
72 |
72 |
$998.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
61 |
57 |
$812.00 |
| 96161 |
|
255 |
231 |
$599.94 |
| 90473 |
|
15 |
13 |
$196.78 |
| 90670 |
|
2,220 |
1,995 |
$3.53 |
| 90651 |
|
763 |
699 |
$1.80 |
| 90686 |
|
525 |
475 |
$1.37 |
| 90648 |
|
1,129 |
982 |
$1.31 |
| 90656 |
|
158 |
148 |
$0.88 |
| 90707 |
|
234 |
214 |
$0.67 |
| 90716 |
|
221 |
201 |
$0.64 |
| 90671 |
|
319 |
220 |
$0.57 |
| 90715 |
|
272 |
241 |
$0.52 |
| 90697 |
|
172 |
114 |
$0.40 |
| 90655 |
|
50 |
47 |
$0.28 |
| 90734 |
|
578 |
526 |
$0.07 |
| 90662 |
|
14 |
14 |
$0.03 |
| 90633 |
|
1,076 |
978 |
$0.03 |
| 90660 |
|
18 |
13 |
$0.02 |
| 90710 |
|
212 |
199 |
$0.00 |
| 90723 |
|
1,154 |
983 |
$0.00 |
| 3352F |
|
27 |
27 |
$0.00 |
| 90680 |
|
1,586 |
1,355 |
$0.00 |
| 90696 |
|
198 |
179 |
$0.00 |
| 90698 |
|
616 |
579 |
$0.00 |
| 3351F |
|
17 |
15 |
$0.00 |
| 3008F |
|
218 |
215 |
$0.00 |
| 90620 |
|
19 |
19 |
$0.00 |
| 90619 |
|
14 |
14 |
$0.00 |