| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,719 |
17,443 |
$1.79M |
| 99199 |
Unlisted special service, procedure or report |
195,694 |
108,903 |
$1.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,991 |
6,996 |
$524K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,897 |
4,195 |
$417K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,609 |
3,822 |
$374K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,200 |
2,785 |
$277K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,062 |
6,103 |
$229K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,965 |
9,450 |
$205K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,472 |
1,217 |
$133K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,369 |
1,865 |
$110K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
10,083 |
8,528 |
$86K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,508 |
2,745 |
$81K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,064 |
3,966 |
$56K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,511 |
1,278 |
$47K |
| 96127 |
|
8,102 |
6,689 |
$36K |
| 90474 |
|
1,592 |
1,422 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,495 |
1,274 |
$21K |
| 99408 |
|
639 |
553 |
$16K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
547 |
500 |
$16K |
| 99381 |
|
132 |
105 |
$11K |
| 87807 |
|
1,039 |
769 |
$11K |
| 83718 |
|
926 |
804 |
$8K |
| 96161 |
|
2,294 |
1,974 |
$8K |
| 90651 |
|
286 |
239 |
$6K |
| 0072A |
|
120 |
89 |
$5K |
| 82465 |
|
924 |
803 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
110 |
93 |
$4K |
| 0001A |
|
91 |
65 |
$4K |
| 92552 |
|
7,767 |
6,653 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
43 |
$4K |
| 90734 |
|
189 |
158 |
$4K |
| 85018 |
|
2,526 |
2,081 |
$3K |
| 0071A |
|
54 |
38 |
$2K |
| 96160 |
|
707 |
597 |
$2K |
| 0002A |
|
50 |
34 |
$2K |
| 99383 |
|
15 |
15 |
$2K |
| 90686 |
|
1,671 |
1,431 |
$1K |
| 99173 |
|
8,543 |
7,331 |
$1K |
| 94760 |
|
7,210 |
5,432 |
$1K |
| 90619 |
|
128 |
104 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
39 |
37 |
$461.69 |
| 81003 |
|
86 |
79 |
$197.96 |
| 90715 |
|
67 |
58 |
$179.72 |
| 90633 |
|
1,283 |
1,077 |
$138.30 |
| 81025 |
|
19 |
12 |
$101.40 |
| 36416 |
|
1,823 |
1,547 |
$6.32 |
| 90698 |
|
2,949 |
2,588 |
$0.00 |
| 90680 |
|
1,659 |
1,455 |
$0.00 |
| 99000 |
|
1,745 |
1,357 |
$0.00 |
| 90677 |
|
332 |
315 |
$0.00 |
| 90744 |
|
1,081 |
941 |
$0.00 |
| 91307 |
|
212 |
145 |
$0.00 |
| 90696 |
|
115 |
97 |
$0.00 |
| 90656 |
|
113 |
109 |
$0.00 |
| 90716 |
|
58 |
51 |
$0.00 |
| 90670 |
|
3,114 |
2,708 |
$0.00 |
| 90710 |
|
101 |
85 |
$0.00 |
| 90685 |
|
141 |
98 |
$0.00 |
| 91300 |
|
241 |
167 |
$0.00 |
| 90707 |
|
46 |
39 |
$0.00 |