| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,899 |
6,484 |
$634K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,294 |
9,840 |
$602K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,188 |
6,792 |
$473K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,011 |
4,697 |
$457K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,786 |
4,392 |
$448K |
| 99463 |
|
1,703 |
1,660 |
$176K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
722 |
703 |
$65K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,195 |
1,114 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,888 |
2,770 |
$38K |
| 99429 |
|
1,841 |
896 |
$19K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
529 |
498 |
$18K |
| 96161 |
|
4,174 |
3,982 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
95 |
93 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
85 |
80 |
$8K |
| 99188 |
|
426 |
399 |
$7K |
| 83655 |
|
546 |
528 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
161 |
78 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 99173 |
|
802 |
755 |
$2K |
| 92551 |
|
766 |
727 |
$2K |
| 99051 |
|
96 |
95 |
$1K |
| 85018 |
|
574 |
533 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 96160 |
|
398 |
348 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
92 |
82 |
$1K |
| 99382 |
|
14 |
12 |
$1K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
959 |
917 |
$1K |
| 96127 |
|
174 |
156 |
$727.21 |
| 36416 |
|
2,269 |
2,107 |
$495.98 |
| 96380 |
|
25 |
25 |
$373.20 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$257.88 |
| 90670 |
|
2,955 |
2,815 |
$70.20 |
| 90677 |
|
509 |
507 |
$34.62 |
| 90633 |
|
609 |
564 |
$5.19 |
| 90656 |
|
24 |
23 |
$0.02 |
| 90686 |
|
704 |
676 |
$0.02 |
| 90700 |
|
4,227 |
4,010 |
$0.00 |
| 90713 |
|
3,033 |
2,922 |
$0.00 |
| 90648 |
|
3,349 |
3,217 |
$0.00 |
| 99072 |
|
932 |
801 |
$0.00 |
| 90707 |
|
218 |
213 |
$0.00 |
| 90685 |
|
144 |
137 |
$0.00 |
| 90461 |
|
26 |
26 |
$0.00 |
| 3210F |
|
42 |
39 |
$0.00 |
| 90680 |
|
1,737 |
1,674 |
$0.00 |
| 90744 |
|
1,387 |
1,299 |
$0.00 |
| 90716 |
|
185 |
180 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |