| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,643 |
18,573 |
$1.32M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15,836 |
13,118 |
$596K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,053 |
5,289 |
$446K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,356 |
5,038 |
$409K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,666 |
3,999 |
$329K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,822 |
1,443 |
$124K |
| 99188 |
|
12,573 |
10,549 |
$112K |
| 99460 |
|
1,835 |
1,166 |
$87K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
1,813 |
1,154 |
$67K |
| 99070 |
|
12,721 |
10,531 |
$49K |
| 99383 |
|
379 |
336 |
$33K |
| 99381 |
|
552 |
441 |
$33K |
| 97803 |
|
4,192 |
3,388 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
446 |
308 |
$8K |
| 99384 |
|
84 |
70 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
98 |
83 |
$7K |
| 99463 |
|
109 |
57 |
$6K |
| D1206 |
Topical application of fluoride varnish |
138 |
134 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
42 |
37 |
$4K |
| 99382 |
|
43 |
39 |
$4K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
211 |
179 |
$3K |
| 92588 |
|
117 |
102 |
$1K |
| 92567 |
|
201 |
159 |
$1K |
| 99462 |
|
35 |
26 |
$998.73 |
| 97802 |
|
387 |
330 |
$814.56 |
| 90967 |
|
48 |
40 |
$496.23 |
| D1208 |
Topical application of fluoride, excluding varnish |
63 |
53 |
$479.44 |
| 69210 |
|
18 |
13 |
$386.62 |
| 90672 |
|
671 |
537 |
$372.92 |
| 92568 |
|
23 |
17 |
$230.99 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
19 |
13 |
$177.37 |
| 90461 |
|
269 |
233 |
$167.56 |
| 90707 |
|
2,092 |
1,805 |
$153.10 |
| 90716 |
|
2,110 |
1,806 |
$127.44 |
| 90686 |
|
3,243 |
2,730 |
$61.31 |
| 90660 |
|
258 |
235 |
$60.56 |
| 90621 |
|
1,098 |
843 |
$57.22 |
| 99173 |
|
374 |
334 |
$44.44 |
| 90651 |
|
948 |
767 |
$23.78 |
| 90696 |
|
617 |
525 |
$22.96 |
| 90734 |
|
667 |
540 |
$22.96 |
| 90633 |
|
2,202 |
1,937 |
$11.48 |
| 90723 |
|
1,263 |
1,137 |
$0.00 |
| 90680 |
|
2,821 |
2,451 |
$0.00 |
| 90744 |
|
1,159 |
923 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 90378 |
|
27 |
25 |
$0.00 |
| 90700 |
|
2,897 |
2,518 |
$0.00 |
| 90713 |
|
1,883 |
1,639 |
$0.00 |
| 90670 |
|
4,605 |
4,008 |
$0.00 |
| 90715 |
|
214 |
184 |
$0.00 |
| 90685 |
|
2,116 |
1,879 |
$0.00 |
| 90648 |
|
4,295 |
3,730 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |