| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
216,188 |
108,132 |
$1.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,037 |
17,905 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,438 |
7,458 |
$620K |
| 87428 |
|
2,079 |
1,633 |
$110K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,077 |
5,524 |
$107K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,184 |
973 |
$100K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
914 |
725 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,668 |
1,327 |
$40K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,693 |
2,196 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
617 |
488 |
$13K |
| 90837 |
Psychotherapy, 53 minutes with patient |
249 |
76 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
136 |
93 |
$9K |
| 99460 |
|
104 |
84 |
$5K |
| 90686 |
|
1,893 |
1,502 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
124 |
119 |
$4K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
56 |
51 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
56 |
55 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
185 |
162 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
78 |
53 |
$2K |
| 87807 |
|
160 |
138 |
$2K |
| D1206 |
Topical application of fluoride varnish |
128 |
120 |
$2K |
| 96161 |
|
315 |
222 |
$858.86 |
| 90656 |
|
117 |
114 |
$719.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
83 |
55 |
$489.44 |
| 92551 |
|
525 |
254 |
$481.93 |
| 99173 |
|
771 |
439 |
$456.77 |
| 96127 |
|
213 |
105 |
$454.38 |
| 99051 |
|
13 |
12 |
$288.22 |
| 90474 |
|
16 |
15 |
$286.30 |
| 36415 |
Collection of venous blood by venipuncture |
64 |
40 |
$61.99 |
| 99072 |
|
1,514 |
1,181 |
$28.72 |
| 99490 |
Ccm add 20min |
22 |
12 |
$24.66 |
| 1159F |
|
41,148 |
30,889 |
$11.33 |
| 1160F |
|
40,875 |
30,606 |
$8.61 |
| 3008F |
|
23,434 |
18,059 |
$1.41 |
| 3074F |
|
549 |
328 |
$0.14 |
| 3078F |
|
294 |
230 |
$0.10 |
| 90677 |
|
12 |
12 |
$0.02 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
141 |
115 |
$0.01 |
| 1036F |
|
3,961 |
2,958 |
$0.00 |
| 90680 |
|
64 |
53 |
$0.00 |
| 94760 |
|
44 |
39 |
$0.00 |
| 1125F |
|
47 |
37 |
$0.00 |
| 90698 |
|
396 |
323 |
$0.00 |
| 1034F |
|
56 |
36 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 91301 |
|
14 |
14 |
$0.00 |
| 3725F |
|
1,719 |
1,500 |
$0.00 |
| 90670 |
|
381 |
308 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
365 |
330 |
$0.00 |
| 1033F |
|
470 |
356 |
$0.00 |
| 90685 |
|
61 |
59 |
$0.00 |
| 0521F |
|
47 |
37 |
$0.00 |
| 90633 |
|
13 |
13 |
$0.00 |
| 1032F |
|
37 |
24 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
14 |
12 |
$0.00 |