| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,941 |
7,203 |
$596K |
| 99199 |
Unlisted special service, procedure or report |
45,897 |
28,425 |
$270K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,773 |
1,517 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,639 |
1,379 |
$150K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,364 |
2,727 |
$131K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,444 |
1,222 |
$130K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,001 |
1,694 |
$95K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
895 |
785 |
$93K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,635 |
3,884 |
$84K |
| 97802 |
|
3,083 |
2,635 |
$47K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
492 |
447 |
$44K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,073 |
3,928 |
$38K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,050 |
906 |
$34K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,682 |
694 |
$21K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
506 |
411 |
$18K |
| D1206 |
Topical application of fluoride varnish |
1,050 |
907 |
$15K |
| 99408 |
|
618 |
481 |
$14K |
| 96127 |
|
2,954 |
2,437 |
$11K |
| 90480 |
|
103 |
95 |
$4K |
| 90651 |
|
119 |
96 |
$3K |
| 99401 |
|
114 |
95 |
$3K |
| 0072A |
|
46 |
38 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
179 |
$3K |
| 0071A |
|
41 |
38 |
$3K |
| 99173 |
|
3,046 |
2,613 |
$2K |
| 96160 |
|
667 |
522 |
$2K |
| 90474 |
|
59 |
56 |
$1K |
| 96161 |
|
227 |
209 |
$837.08 |
| 90686 |
|
1,258 |
1,138 |
$621.54 |
| 90756 |
|
21 |
19 |
$381.60 |
| 90734 |
|
13 |
12 |
$375.60 |
| 90688 |
|
804 |
592 |
$138.54 |
| 90715 |
|
13 |
12 |
$129.75 |
| 90685 |
|
226 |
224 |
$1.00 |
| 90656 |
|
76 |
74 |
$0.30 |
| 91320 |
|
17 |
17 |
$0.02 |
| 91319 |
|
57 |
33 |
$0.01 |
| 91318 |
|
21 |
16 |
$0.01 |
| 90670 |
|
397 |
356 |
$0.01 |
| 90700 |
|
628 |
567 |
$0.01 |
| 91307 |
|
87 |
76 |
$0.00 |
| 90647 |
|
83 |
77 |
$0.00 |
| 90716 |
|
28 |
27 |
$0.00 |
| 90680 |
|
59 |
56 |
$0.00 |
| 96156 |
|
13 |
13 |
$0.00 |
| 90744 |
|
27 |
27 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |
| 90713 |
|
310 |
294 |
$0.00 |
| 99072 |
|
46 |
39 |
$0.00 |
| 90707 |
|
28 |
27 |
$0.00 |
| 90633 |
|
16 |
12 |
$0.00 |