| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
194,043 |
88,040 |
$1.07M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,904 |
12,913 |
$899K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,709 |
4,066 |
$423K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,399 |
2,233 |
$217K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,363 |
2,136 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,101 |
1,913 |
$182K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,292 |
3,892 |
$161K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,579 |
1,443 |
$156K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,968 |
7,114 |
$152K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,088 |
2,427 |
$107K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,839 |
2,142 |
$63K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,444 |
4,975 |
$44K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,960 |
1,808 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,829 |
1,673 |
$17K |
| D0145 |
Oral evaluation for a patient under three years of age |
385 |
370 |
$14K |
| 81002 |
|
5,599 |
4,886 |
$12K |
| 90474 |
|
580 |
551 |
$11K |
| 96127 |
|
2,947 |
2,398 |
$11K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
568 |
473 |
$10K |
| 90651 |
|
270 |
251 |
$9K |
| D1206 |
Topical application of fluoride varnish |
385 |
370 |
$6K |
| 0071A |
|
116 |
87 |
$6K |
| 90734 |
|
269 |
245 |
$6K |
| 0001A |
|
102 |
72 |
$5K |
| 92552 |
|
717 |
569 |
$5K |
| 99441 |
|
168 |
125 |
$4K |
| 83655 |
|
274 |
267 |
$4K |
| 99401 |
|
143 |
111 |
$4K |
| 0072A |
|
74 |
56 |
$4K |
| 90686 |
|
2,656 |
2,414 |
$3K |
| 99173 |
|
4,927 |
4,550 |
$3K |
| 0002A |
|
59 |
30 |
$2K |
| 87807 |
|
152 |
142 |
$2K |
| 92587 |
|
75 |
62 |
$2K |
| 82465 |
|
246 |
233 |
$1K |
| 92551 |
|
1,647 |
1,563 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$546.33 |
| 90620 |
|
17 |
17 |
$525.30 |
| 90715 |
|
74 |
62 |
$505.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
36 |
33 |
$397.02 |
| 99051 |
|
13 |
13 |
$344.24 |
| 90688 |
|
279 |
274 |
$245.25 |
| 36415 |
Collection of venous blood by venipuncture |
25 |
25 |
$67.50 |
| 99177 |
|
150 |
111 |
$52.20 |
| 90707 |
|
523 |
488 |
$0.03 |
| 90716 |
|
527 |
492 |
$0.03 |
| 90696 |
|
64 |
59 |
$0.03 |
| 90633 |
|
409 |
388 |
$0.00 |
| 90670 |
|
1,403 |
1,324 |
$0.00 |
| 90700 |
|
32 |
26 |
$0.00 |
| 92081 |
|
77 |
76 |
$0.00 |
| 1003F |
|
235 |
209 |
$0.00 |
| 91300 |
|
283 |
160 |
$0.00 |
| 90685 |
|
16 |
14 |
$0.00 |
| 90647 |
|
919 |
872 |
$0.00 |
| 90680 |
|
590 |
563 |
$0.00 |
| 90723 |
|
833 |
788 |
$0.00 |
| 91307 |
|
329 |
226 |
$0.00 |