| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,140 |
18,288 |
$1.28M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,457 |
8,628 |
$345K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
930 |
811 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
786 |
742 |
$72K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
703 |
613 |
$62K |
| 99173 |
|
6,092 |
5,583 |
$44K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,346 |
2,190 |
$42K |
| 90837 |
Psychotherapy, 53 minutes with patient |
313 |
238 |
$33K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
364 |
326 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,378 |
2,168 |
$31K |
| 92551 |
|
2,575 |
2,376 |
$27K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
501 |
486 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
127 |
$13K |
| 0002A |
|
262 |
252 |
$10K |
| 0071A |
|
186 |
174 |
$10K |
| 0001A |
|
249 |
234 |
$9K |
| 0072A |
|
153 |
153 |
$9K |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
666 |
636 |
$7K |
| 90688 |
|
1,496 |
1,335 |
$5K |
| 90480 |
|
100 |
93 |
$5K |
| 0124A |
|
79 |
56 |
$4K |
| 90461 |
|
2,178 |
1,973 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
218 |
$4K |
| 0003A |
|
80 |
78 |
$3K |
| 90686 |
|
2,727 |
2,538 |
$3K |
| 36416 |
|
1,039 |
912 |
$2K |
| 96127 |
|
121 |
113 |
$2K |
| 0073A |
|
27 |
27 |
$2K |
| 90670 |
|
333 |
310 |
$1K |
| 90658 |
|
299 |
291 |
$1K |
| 0081A |
|
18 |
18 |
$1K |
| 0082A |
|
18 |
16 |
$1K |
| 90698 |
|
336 |
312 |
$874.86 |
| 99177 |
|
51 |
46 |
$726.70 |
| 91320 |
|
13 |
13 |
$466.20 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$360.00 |
| 90677 |
|
26 |
26 |
$313.77 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$208.00 |
| 90685 |
|
125 |
117 |
$178.48 |
| 83718 |
|
14 |
12 |
$133.73 |
| 90680 |
|
142 |
136 |
$99.32 |
| 90633 |
|
36 |
36 |
$78.84 |
| 82465 |
|
14 |
12 |
$71.25 |
| 85018 |
|
12 |
12 |
$30.77 |
| 99000 |
|
16 |
16 |
$6.04 |
| 90651 |
|
13 |
12 |
$0.00 |
| 91307 |
|
420 |
386 |
$0.00 |
| 91315 |
|
17 |
17 |
$0.00 |
| 91312 |
|
67 |
55 |
$0.00 |
| 91300 |
|
714 |
642 |
$0.00 |
| 91308 |
|
127 |
101 |
$0.00 |
| 99051 |
|
12 |
12 |
$0.00 |