| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,214 |
11,570 |
$933K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,650 |
5,554 |
$631K |
| 99199 |
Unlisted special service, procedure or report |
91,358 |
55,059 |
$541K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,780 |
2,482 |
$290K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,622 |
2,354 |
$247K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,036 |
4,372 |
$198K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,869 |
1,702 |
$180K |
| 99401 |
|
4,063 |
3,043 |
$135K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
989 |
859 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,859 |
1,594 |
$72K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,681 |
2,292 |
$49K |
| 96127 |
|
7,548 |
6,471 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,250 |
2,899 |
$30K |
| D0145 |
Oral evaluation for a patient under three years of age |
707 |
630 |
$24K |
| 94010 |
|
881 |
778 |
$21K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,461 |
677 |
$21K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
294 |
284 |
$14K |
| 69210 |
|
369 |
299 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
995 |
901 |
$13K |
| 99215 |
Prolong outpt/office vis |
96 |
89 |
$12K |
| D1206 |
Topical application of fluoride varnish |
707 |
630 |
$10K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
85 |
79 |
$9K |
| 90620 |
|
470 |
455 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
231 |
222 |
$8K |
| 90734 |
|
503 |
429 |
$7K |
| 90651 |
|
232 |
198 |
$5K |
| 90480 |
|
115 |
109 |
$4K |
| 90688 |
|
1,244 |
1,229 |
$4K |
| 92551 |
|
5,422 |
4,790 |
$3K |
| 87807 |
|
112 |
105 |
$2K |
| 90686 |
|
2,309 |
1,760 |
$1K |
| 99173 |
|
5,625 |
4,983 |
$806.25 |
| 96161 |
|
235 |
164 |
$698.11 |
| 90474 |
|
26 |
26 |
$531.70 |
| 85018 |
|
146 |
125 |
$406.86 |
| G9919 |
Screening performed and positive and provision of recommendations |
12 |
12 |
$375.60 |
| 94664 |
|
30 |
29 |
$333.90 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
29 |
$315.58 |
| 81002 |
|
125 |
103 |
$306.99 |
| 90656 |
|
346 |
320 |
$265.91 |
| 99058 |
|
16 |
13 |
$247.10 |
| 90715 |
|
25 |
24 |
$86.50 |
| 99442 |
|
23 |
23 |
$56.69 |
| 90680 |
|
160 |
127 |
$0.00 |
| 90744 |
|
29 |
26 |
$0.00 |
| 90698 |
|
211 |
167 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 99441 |
|
33 |
32 |
$0.00 |
| 91319 |
|
17 |
16 |
$0.00 |
| 90670 |
|
657 |
570 |
$0.00 |
| 90649 |
|
360 |
355 |
$0.00 |
| 90633 |
|
75 |
67 |
$0.00 |
| 90687 |
|
118 |
118 |
$0.00 |
| 91320 |
|
21 |
21 |
$0.00 |