| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,997 |
8,126 |
$826K |
| 99199 |
Unlisted special service, procedure or report |
66,710 |
33,527 |
$509K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,826 |
2,747 |
$189K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,147 |
1,787 |
$174K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,631 |
1,306 |
$127K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,487 |
1,293 |
$123K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,710 |
4,081 |
$86K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,576 |
2,270 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,958 |
1,408 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
443 |
381 |
$39K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
740 |
585 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,859 |
2,390 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,145 |
993 |
$13K |
| 96127 |
|
2,729 |
2,238 |
$11K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
315 |
263 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
94 |
$5K |
| 87807 |
|
409 |
350 |
$5K |
| 90474 |
|
214 |
191 |
$4K |
| 90651 |
|
94 |
77 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
80 |
42 |
$2K |
| 99381 |
|
15 |
13 |
$1K |
| 90686 |
|
893 |
813 |
$1K |
| 85018 |
|
858 |
719 |
$1K |
| 92552 |
|
3,570 |
3,088 |
$968.46 |
| 0001A |
|
13 |
13 |
$820.00 |
| 90734 |
|
29 |
26 |
$753.32 |
| D1206 |
Topical application of fluoride varnish |
54 |
41 |
$672.56 |
| 96161 |
|
201 |
168 |
$630.25 |
| 83655 |
|
92 |
67 |
$613.31 |
| 99173 |
|
3,913 |
3,395 |
$490.04 |
| 83718 |
|
32 |
30 |
$292.90 |
| 90670 |
|
873 |
762 |
$228.32 |
| 82465 |
|
32 |
30 |
$155.44 |
| 96160 |
|
45 |
38 |
$138.38 |
| 90633 |
|
190 |
169 |
$56.43 |
| 90688 |
|
25 |
25 |
$15.80 |
| 91300 |
|
39 |
25 |
$0.00 |
| 90687 |
|
12 |
12 |
$0.00 |
| 90685 |
|
33 |
32 |
$0.00 |
| 90707 |
|
26 |
17 |
$0.00 |
| 90710 |
|
14 |
12 |
$0.00 |
| 90744 |
|
133 |
111 |
$0.00 |
| 99000 |
|
43 |
41 |
$0.00 |
| 90698 |
|
834 |
693 |
$0.00 |
| 90680 |
|
231 |
204 |
$0.00 |
| 90677 |
|
84 |
72 |
$0.00 |
| 36416 |
|
97 |
86 |
$0.00 |
| 90696 |
|
19 |
17 |
$0.00 |
| 90647 |
|
18 |
18 |
$0.00 |
| 90716 |
|
25 |
18 |
$0.00 |