| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,556 |
26,135 |
$2.49M |
| 99199 |
Unlisted special service, procedure or report |
336,880 |
163,851 |
$1.64M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,700 |
20,124 |
$1.40M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
8,610 |
6,894 |
$1.09M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,412 |
6,807 |
$618K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,978 |
6,280 |
$583K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,954 |
4,360 |
$396K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,742 |
8,803 |
$367K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,719 |
15,146 |
$333K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,230 |
2,879 |
$287K |
| 96127 |
|
25,485 |
22,013 |
$122K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,449 |
10,552 |
$107K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,401 |
2,894 |
$95K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,675 |
2,429 |
$90K |
| 92552 |
|
5,994 |
4,982 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,157 |
1,492 |
$42K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,166 |
980 |
$40K |
| D1206 |
Topical application of fluoride varnish |
2,688 |
2,430 |
$40K |
| 99215 |
Prolong outpt/office vis |
257 |
230 |
$31K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
617 |
514 |
$30K |
| 90474 |
|
1,465 |
1,306 |
$29K |
| 96160 |
|
7,146 |
6,326 |
$25K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,469 |
1,320 |
$19K |
| 96161 |
|
5,153 |
4,531 |
$18K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
299 |
159 |
$17K |
| 83655 |
|
1,213 |
1,087 |
$17K |
| 87428 |
|
206 |
142 |
$11K |
| 85018 |
|
5,631 |
5,001 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
264 |
211 |
$9K |
| 80061 |
Lipid panel |
573 |
488 |
$9K |
| 94010 |
|
284 |
268 |
$7K |
| 99173 |
|
14,714 |
13,165 |
$6K |
| 99177 |
|
8,695 |
7,958 |
$6K |
| 90686 |
|
3,884 |
3,513 |
$4K |
| 99401 |
|
214 |
189 |
$3K |
| 90651 |
|
214 |
198 |
$3K |
| 90734 |
|
182 |
167 |
$2K |
| 99381 |
|
20 |
15 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13,766 |
13,032 |
$1K |
| 94664 |
|
95 |
91 |
$1K |
| 92551 |
|
5,300 |
5,169 |
$814.28 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
226 |
203 |
$520.38 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
41 |
39 |
$419.41 |
| 99051 |
|
14 |
14 |
$370.72 |
| 94644 |
|
12 |
12 |
$313.44 |
| 90661 |
|
203 |
197 |
$294.29 |
| 90671 |
|
618 |
608 |
$229.08 |
| 90716 |
|
842 |
760 |
$124.91 |
| 94760 |
|
1,132 |
1,088 |
$93.15 |
| 81025 |
|
13 |
12 |
$85.80 |
| 90674 |
|
442 |
417 |
$73.69 |
| 90633 |
|
855 |
789 |
$33.11 |
| 36416 |
|
4,228 |
4,017 |
$12.56 |
| 90723 |
|
2,249 |
1,999 |
$0.18 |
| 90647 |
|
2,235 |
2,025 |
$0.15 |
| 90680 |
|
1,584 |
1,414 |
$0.13 |
| 90670 |
|
3,124 |
2,768 |
$0.02 |
| 90707 |
|
837 |
759 |
$0.00 |
| 90700 |
|
30 |
25 |
$0.00 |
| 90685 |
|
74 |
73 |
$0.00 |
| 99072 |
|
389 |
370 |
$0.00 |
| 90696 |
|
30 |
27 |
$0.00 |
| 99000 |
|
60 |
38 |
$0.00 |