| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
107,237 |
55,358 |
$644K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,066 |
2,925 |
$384K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,363 |
2,565 |
$212K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,879 |
1,687 |
$36K |
| 99215 |
Prolong outpt/office vis |
201 |
166 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
262 |
227 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
62 |
54 |
$5K |
| 92567 |
|
422 |
316 |
$5K |
| 88738 |
|
853 |
753 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
146 |
126 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
85 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
147 |
121 |
$1K |
| 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) |
168 |
132 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 92551 |
|
791 |
690 |
$918.66 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
19 |
17 |
$786.22 |
| 90473 |
|
40 |
29 |
$719.78 |
| 99051 |
|
27 |
27 |
$635.52 |
| 99173 |
|
773 |
671 |
$582.55 |
| D0145 |
Oral evaluation for a patient under three years of age |
13 |
13 |
$518.83 |
| 99070 |
|
62 |
53 |
$266.58 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$229.06 |
| 90688 |
|
502 |
460 |
$191.21 |
| 96127 |
|
27 |
26 |
$117.27 |
| 85018 |
|
12 |
12 |
$29.20 |
| 90686 |
|
185 |
161 |
$0.00 |
| 90685 |
|
41 |
39 |
$0.00 |
| 90672 |
|
57 |
44 |
$0.00 |