| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56,607 |
48,615 |
$3.34M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
33,874 |
29,480 |
$2.96M |
| 99199 |
Unlisted special service, procedure or report |
293,558 |
171,442 |
$1.60M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
9,855 |
8,597 |
$877K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
10,194 |
8,457 |
$829K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,757 |
11,730 |
$727K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,088 |
6,314 |
$629K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
25,801 |
21,984 |
$490K |
| 92552 |
|
19,482 |
16,967 |
$285K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,876 |
2,442 |
$278K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,022 |
6,683 |
$196K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,176 |
12,600 |
$186K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,045 |
4,226 |
$177K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,903 |
13,343 |
$133K |
| 99051 |
|
5,429 |
4,790 |
$125K |
| 90474 |
|
3,794 |
3,272 |
$74K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,054 |
6,829 |
$71K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,953 |
1,643 |
$67K |
| 96127 |
|
12,776 |
11,354 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
937 |
732 |
$32K |
| 87081 |
|
4,981 |
4,588 |
$31K |
| D1206 |
Topical application of fluoride varnish |
1,944 |
1,638 |
$30K |
| 99173 |
|
21,829 |
19,030 |
$24K |
| 96161 |
|
4,132 |
3,573 |
$16K |
| 90686 |
|
7,549 |
6,367 |
$14K |
| 90677 |
|
675 |
647 |
$11K |
| 0071A |
|
195 |
149 |
$10K |
| 83655 |
|
658 |
581 |
$9K |
| 90713 |
|
7,672 |
6,469 |
$9K |
| 90651 |
|
233 |
206 |
$8K |
| 99215 |
Prolong outpt/office vis |
71 |
66 |
$8K |
| 90700 |
|
9,962 |
8,458 |
$8K |
| 0072A |
|
137 |
108 |
$8K |
| 90670 |
|
7,420 |
6,127 |
$6K |
| 90680 |
|
4,516 |
3,846 |
$6K |
| 95117 |
|
520 |
389 |
$5K |
| 99381 |
|
52 |
38 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
174 |
133 |
$4K |
| 90473 |
|
212 |
199 |
$4K |
| 90716 |
|
1,141 |
949 |
$4K |
| 90619 |
|
84 |
69 |
$4K |
| 0001A |
|
61 |
50 |
$3K |
| 90647 |
|
5,158 |
4,319 |
$3K |
| 87428 |
|
47 |
44 |
$3K |
| 69210 |
|
67 |
53 |
$2K |
| 90656 |
|
274 |
261 |
$2K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
53 |
50 |
$2K |
| 0003A |
|
40 |
29 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
32 |
26 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |
| 99460 |
|
33 |
27 |
$1K |
| 81003 |
|
497 |
434 |
$1K |
| 0073A |
|
23 |
16 |
$1K |
| 0081A |
|
20 |
16 |
$1K |
| 80053 |
Comprehensive metabolic panel |
118 |
107 |
$1K |
| 90744 |
|
2,390 |
2,036 |
$892.73 |
| 90707 |
|
1,025 |
854 |
$870.87 |
| 99401 |
|
32 |
21 |
$865.24 |
| 90672 |
|
306 |
281 |
$862.64 |
| 0002A |
|
13 |
13 |
$859.69 |
| 90734 |
|
32 |
29 |
$855.84 |
| 36416 |
|
3,529 |
3,007 |
$807.70 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
48 |
38 |
$795.39 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
72 |
67 |
$671.72 |
| 94664 |
|
59 |
54 |
$591.86 |
| 90633 |
|
1,473 |
1,277 |
$381.65 |
| 87807 |
|
40 |
29 |
$365.59 |
| 91307 |
|
450 |
363 |
$360.56 |
| 90480 |
|
28 |
25 |
$350.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
31 |
25 |
$339.56 |
| 81025 |
|
35 |
26 |
$253.20 |
| 90715 |
|
16 |
12 |
$248.40 |
| 36415 |
Collection of venous blood by venipuncture |
89 |
79 |
$227.27 |
| 90660 |
|
15 |
13 |
$178.08 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
13 |
$142.24 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
34 |
31 |
$2.98 |
| 90685 |
|
687 |
663 |
$0.00 |
| 91308 |
|
55 |
42 |
$0.00 |
| 91300 |
|
137 |
120 |
$0.00 |