| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
10,963 |
10,761 |
$918K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,489 |
1,566 |
$204K |
| H1000 |
Prenatal care, at-risk assessment |
1,275 |
1,268 |
$107K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,357 |
5,054 |
$90K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,682 |
9,103 |
$87K |
| 36416 |
|
11,317 |
11,125 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,233 |
1,150 |
$56K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,420 |
1,260 |
$48K |
| V5008 |
Hearing screening |
4,969 |
4,876 |
$46K |
| 83655 |
|
4,617 |
4,555 |
$46K |
| 90632 |
|
847 |
834 |
$44K |
| 90651 |
|
1,081 |
1,045 |
$43K |
| H2000 |
Comprehensive multidisciplinary evaluation |
387 |
386 |
$42K |
| 99172 |
|
3,838 |
3,772 |
$35K |
| 0001A |
|
1,016 |
1,015 |
$32K |
| 0002A |
|
911 |
909 |
$30K |
| 99384 |
|
288 |
281 |
$28K |
| 90715 |
|
1,696 |
1,655 |
$25K |
| 85018 |
|
11,601 |
11,444 |
$23K |
| 0012A |
|
556 |
552 |
$18K |
| 87808 |
|
1,537 |
1,492 |
$18K |
| 0011A |
|
593 |
590 |
$17K |
| 90832 |
Psychotherapy, 30 minutes with patient |
367 |
217 |
$16K |
| 90620 |
|
349 |
322 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
181 |
176 |
$14K |
| 90686 |
|
1,884 |
1,753 |
$14K |
| 87510 |
|
1,341 |
1,301 |
$13K |
| 81025 |
|
1,984 |
1,864 |
$13K |
| 99385 |
|
138 |
131 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,342 |
1,320 |
$11K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
123 |
121 |
$10K |
| D1206 |
Topical application of fluoride varnish |
329 |
328 |
$9K |
| 90834 |
Psychotherapy, 45 minutes with patient |
152 |
125 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
284 |
277 |
$9K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
99 |
99 |
$8K |
| 90791 |
Psychiatric diagnostic evaluation |
56 |
55 |
$8K |
| 0031A |
|
238 |
237 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
161 |
151 |
$7K |
| 90636 |
|
64 |
64 |
$6K |
| 91320 |
|
64 |
64 |
$6K |
| 90674 |
|
382 |
382 |
$6K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
142 |
141 |
$6K |
| D0190 |
|
326 |
325 |
$5K |
| 96127 |
|
2,114 |
2,041 |
$5K |
| 90734 |
|
1,187 |
1,142 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
69 |
67 |
$4K |
| 90716 |
|
282 |
256 |
$4K |
| 90707 |
|
335 |
305 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,827 |
1,756 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
993 |
987 |
$3K |
| 0071A |
|
76 |
75 |
$3K |
| 90480 |
|
137 |
136 |
$3K |
| 90677 |
|
83 |
82 |
$2K |
| 90661 |
|
130 |
130 |
$2K |
| 0072A |
|
60 |
60 |
$2K |
| 0124A |
|
60 |
60 |
$2K |
| 86580 |
|
375 |
357 |
$2K |
| 86803 |
|
1,340 |
1,309 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
148 |
114 |
$2K |
| 81003 |
|
894 |
862 |
$2K |
| 90670 |
|
1,035 |
941 |
$2K |
| 0064A |
|
40 |
40 |
$2K |
| 0134A |
|
42 |
42 |
$1K |
| 90746 |
|
26 |
26 |
$1K |
| 0004A |
|
32 |
32 |
$1K |
| 91322 |
|
12 |
12 |
$1K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
3,669 |
3,552 |
$1K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
3,676 |
3,554 |
$962.15 |
| 80061 |
Lipid panel |
89 |
84 |
$943.45 |
| 99201 |
|
27 |
27 |
$785.64 |
| 0054A |
|
17 |
17 |
$639.93 |
| 86481 |
|
17 |
15 |
$600.00 |
| 90621 |
|
18 |
16 |
$547.52 |
| 90474 |
|
135 |
121 |
$377.00 |
| 87905 |
|
74 |
72 |
$286.08 |
| S4993 |
Contraceptive pills for birth control |
39 |
36 |
$181.88 |
| 90672 |
|
62 |
59 |
$150.00 |
| 94250 |
|
20 |
18 |
$123.60 |
| 96160 |
|
92 |
79 |
$101.88 |
| 90473 |
|
17 |
14 |
$42.00 |
| 86703 |
|
1,746 |
1,684 |
$23.96 |
| 92551 |
|
347 |
331 |
$13.48 |
| 90648 |
|
206 |
168 |
$0.00 |
| 91300 |
|
947 |
874 |
$0.00 |
| 91312 |
|
59 |
59 |
$0.00 |
| 99173 |
|
330 |
312 |
$0.00 |
| 90710 |
|
321 |
295 |
$0.00 |
| 90713 |
|
50 |
50 |
$0.00 |
| 90700 |
|
174 |
149 |
$0.00 |
| 90633 |
|
1,204 |
1,064 |
$0.00 |
| 90681 |
|
72 |
58 |
$0.00 |
| 90685 |
|
301 |
231 |
$0.00 |
| 91313 |
|
42 |
42 |
$0.00 |
| T1001 |
Nursing assessment / evaluation |
34 |
34 |
$0.00 |
| 91308 |
|
12 |
12 |
$0.00 |
| 86780 |
|
1,471 |
1,430 |
$0.00 |
| 91307 |
|
136 |
115 |
$0.00 |
| 90698 |
|
410 |
370 |
$0.00 |
| 94760 |
|
1,564 |
1,434 |
$0.00 |
| 91301 |
|
692 |
689 |
$0.00 |
| 91305 |
|
134 |
133 |
$0.00 |
| 90696 |
|
109 |
93 |
$0.00 |
| 90744 |
|
410 |
360 |
$0.00 |
| 91303 |
|
151 |
151 |
$0.00 |
| 91306 |
|
40 |
40 |
$0.00 |