| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,399 |
7,272 |
$975K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,789 |
1,726 |
$218K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,532 |
1,361 |
$175K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,379 |
1,335 |
$166K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
342 |
326 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
236 |
227 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
91 |
85 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
26 |
$3K |
| 99381 |
|
32 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,712 |
4,456 |
$666.96 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
27 |
24 |
$173.43 |
| 90677 |
|
212 |
182 |
$0.54 |
| 90680 |
|
935 |
876 |
$0.38 |
| 90633 |
|
807 |
772 |
$0.13 |
| 90698 |
|
1,174 |
1,130 |
$0.01 |
| 90474 |
|
930 |
871 |
$0.00 |
| 85018 |
|
1,702 |
1,617 |
$0.00 |
| 90686 |
|
1,482 |
1,413 |
$0.00 |
| 90697 |
|
177 |
149 |
$0.00 |
| 92551 |
|
160 |
143 |
$0.00 |
| 90744 |
|
399 |
385 |
$0.00 |
| 36416 |
|
356 |
350 |
$0.00 |
| 87807 |
|
222 |
212 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
167 |
143 |
$0.00 |
| D1206 |
Topical application of fluoride varnish |
76 |
76 |
$0.00 |
| 90619 |
|
14 |
13 |
$0.00 |
| 90651 |
|
68 |
67 |
$0.00 |
| 87428 |
|
58 |
52 |
$0.00 |
| 90696 |
|
34 |
32 |
$0.00 |
| 90656 |
|
29 |
29 |
$0.00 |
| 90670 |
|
1,478 |
1,415 |
$0.00 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
742 |
670 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
896 |
824 |
$0.00 |
| 92552 |
|
63 |
54 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,116 |
2,926 |
$0.00 |
| 90710 |
|
33 |
31 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
573 |
531 |
$0.00 |
| 99173 |
|
229 |
201 |
$0.00 |
| 90685 |
|
13 |
13 |
$0.00 |
| 90715 |
|
47 |
42 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |
| 90648 |
|
31 |
31 |
$0.00 |
| 90734 |
|
30 |
30 |
$0.00 |