| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44,066 |
37,364 |
$3.81M |
| 99199 |
Unlisted special service, procedure or report |
408,393 |
202,222 |
$1.97M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,459 |
23,536 |
$1.58M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,036 |
7,718 |
$742K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,201 |
6,682 |
$649K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,788 |
6,413 |
$633K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
17,125 |
14,200 |
$515K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28,186 |
23,537 |
$503K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,772 |
3,918 |
$430K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,075 |
4,409 |
$236K |
| 92587 |
|
10,357 |
8,228 |
$225K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29,249 |
23,875 |
$213K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,348 |
13,571 |
$201K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,811 |
4,888 |
$142K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16,555 |
13,600 |
$137K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,330 |
3,474 |
$131K |
| 87070 |
|
13,129 |
11,672 |
$129K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
2,262 |
2,028 |
$89K |
| D1206 |
Topical application of fluoride varnish |
4,309 |
3,467 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,353 |
1,131 |
$52K |
| 99051 |
|
1,443 |
1,332 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,185 |
1,596 |
$32K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
868 |
637 |
$29K |
| 81002 |
|
16,412 |
13,071 |
$23K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,535 |
2,134 |
$23K |
| 92551 |
|
15,678 |
12,789 |
$19K |
| E0570 |
Nebulizer, with compressor |
158 |
132 |
$19K |
| 90651 |
|
1,425 |
1,176 |
$17K |
| 83655 |
|
1,713 |
1,345 |
$17K |
| 99173 |
|
21,597 |
17,435 |
$14K |
| 80061 |
Lipid panel |
968 |
807 |
$14K |
| 88720 |
|
2,159 |
1,403 |
$12K |
| 96127 |
|
3,180 |
2,806 |
$12K |
| 99441 |
|
448 |
335 |
$10K |
| 99215 |
Prolong outpt/office vis |
86 |
84 |
$10K |
| 99070 |
|
1,470 |
1,235 |
$10K |
| 96161 |
|
1,872 |
1,663 |
$7K |
| 87420 |
|
547 |
433 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
58 |
53 |
$6K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
589 |
511 |
$6K |
| 90734 |
|
536 |
399 |
$5K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
482 |
385 |
$4K |
| 69210 |
|
121 |
108 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
473 |
415 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
13 |
$2K |
| 90688 |
|
6,377 |
5,256 |
$2K |
| 90619 |
|
499 |
415 |
$1K |
| 87807 |
|
44 |
43 |
$592.85 |
| 90715 |
|
166 |
136 |
$345.16 |
| 81025 |
|
33 |
26 |
$241.80 |
| 90620 |
|
237 |
197 |
$225.00 |
| 96380 |
|
13 |
13 |
$222.82 |
| 90698 |
|
5,651 |
4,981 |
$216.28 |
| 95117 |
|
21 |
12 |
$186.81 |
| 90633 |
|
1,753 |
1,386 |
$95.92 |
| 90686 |
|
856 |
529 |
$88.70 |
| 81003 |
|
64 |
64 |
$16.62 |
| 90671 |
|
1,266 |
1,207 |
$0.01 |
| 90670 |
|
4,209 |
3,576 |
$0.00 |
| 90685 |
|
280 |
190 |
$0.00 |
| 90687 |
|
1,249 |
1,089 |
$0.00 |
| 90710 |
|
1,650 |
1,339 |
$0.00 |
| 99072 |
|
323 |
160 |
$0.00 |
| 90744 |
|
1,553 |
1,334 |
$0.00 |
| 90680 |
|
2,466 |
2,234 |
$0.00 |
| 90696 |
|
147 |
119 |
$0.00 |
| 99000 |
|
350 |
178 |
$0.00 |
| 90656 |
|
429 |
410 |
$0.00 |