| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70,018 |
59,875 |
$4.46M |
| 99199 |
Unlisted special service, procedure or report |
474,117 |
279,479 |
$2.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24,884 |
21,187 |
$2.24M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
17,896 |
15,912 |
$1.62M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18,469 |
15,323 |
$1.61M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
37,143 |
32,027 |
$1.56M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12,795 |
11,215 |
$1.16M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
7,682 |
6,581 |
$747K |
| 99401 |
|
23,059 |
18,506 |
$743K |
| 87428 |
|
9,815 |
8,117 |
$540K |
| D0145 |
Oral evaluation for a patient under three years of age |
10,617 |
9,435 |
$355K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,841 |
9,959 |
$310K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
12,124 |
10,191 |
$292K |
| 96127 |
|
60,079 |
52,218 |
$240K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
5,916 |
5,160 |
$225K |
| 99051 |
|
7,115 |
6,320 |
$170K |
| D1206 |
Topical application of fluoride varnish |
10,598 |
9,429 |
$156K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,607 |
4,950 |
$139K |
| 92587 |
|
15,769 |
13,733 |
$113K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,521 |
4,832 |
$105K |
| 85027 |
|
10,980 |
9,377 |
$77K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,517 |
6,500 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,928 |
3,641 |
$50K |
| 90651 |
|
2,483 |
2,100 |
$48K |
| 96161 |
|
10,851 |
9,468 |
$38K |
| 83655 |
|
2,195 |
2,024 |
$29K |
| 0002A |
|
495 |
416 |
$28K |
| 0001A |
|
507 |
405 |
$26K |
| 90734 |
|
1,781 |
1,493 |
$25K |
| 90686 |
|
16,833 |
14,384 |
$21K |
| 87081 |
|
3,044 |
2,908 |
$20K |
| 80061 |
Lipid panel |
1,276 |
1,134 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
773 |
682 |
$15K |
| 0072A |
|
273 |
205 |
$14K |
| 0071A |
|
281 |
204 |
$13K |
| 87807 |
|
1,062 |
834 |
$12K |
| 90480 |
|
302 |
217 |
$12K |
| 90620 |
|
457 |
393 |
$9K |
| 99173 |
|
17,340 |
15,221 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
561 |
495 |
$6K |
| 87634 |
|
143 |
110 |
$3K |
| 85007 |
|
766 |
675 |
$3K |
| G9919 |
Screening performed and positive and provision of recommendations |
326 |
250 |
$3K |
| 82947 |
|
626 |
549 |
$3K |
| 96111 |
|
50 |
25 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,093 |
986 |
$3K |
| 99177 |
|
8,332 |
7,256 |
$2K |
| 0124A |
|
35 |
31 |
$2K |
| 99460 |
|
30 |
27 |
$2K |
| 0054A |
|
44 |
26 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
25 |
$2K |
| 99463 |
|
13 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 96380 |
|
115 |
69 |
$959.84 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
104 |
84 |
$893.93 |
| 81001 |
|
256 |
214 |
$834.41 |
| 90715 |
|
154 |
138 |
$821.77 |
| 90633 |
|
4,433 |
3,870 |
$569.74 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17 |
15 |
$511.25 |
| 90710 |
|
3,765 |
3,337 |
$484.86 |
| 81003 |
|
100 |
83 |
$199.44 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
19 |
14 |
$132.24 |
| 90656 |
|
935 |
874 |
$120.31 |
| 92552 |
|
159 |
149 |
$79.03 |
| 81015 |
|
70 |
56 |
$37.68 |
| 90647 |
|
9,051 |
8,024 |
$28.96 |
| 94760 |
|
76 |
66 |
$22.89 |
| 91305 |
|
322 |
187 |
$14.33 |
| 90670 |
|
10,740 |
9,432 |
$0.00 |
| 90681 |
|
4,368 |
3,872 |
$0.00 |
| 90700 |
|
469 |
413 |
$0.00 |
| 90685 |
|
237 |
187 |
$0.00 |
| 91300 |
|
61 |
58 |
$0.00 |
| 91321 |
|
17 |
17 |
$0.00 |
| 90461 |
|
16 |
12 |
$0.00 |
| 91312 |
|
35 |
31 |
$0.00 |
| 90723 |
|
9,149 |
8,089 |
$0.00 |
| 90677 |
|
1,998 |
1,800 |
$0.00 |
| 90696 |
|
462 |
430 |
$0.00 |
| 36416 |
|
1,375 |
1,089 |
$0.00 |
| 99000 |
|
378 |
327 |
$0.00 |
| 90381 |
|
21 |
14 |
$0.00 |
| 91307 |
|
192 |
109 |
$0.00 |