| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
146,027 |
94,450 |
$827K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,691 |
11,704 |
$803K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,032 |
6,116 |
$534K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,078 |
1,880 |
$194K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,794 |
1,570 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,332 |
1,216 |
$127K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,729 |
5,875 |
$123K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,354 |
2,969 |
$105K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,123 |
1,793 |
$74K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
468 |
435 |
$40K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,523 |
2,241 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,394 |
2,167 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
900 |
727 |
$31K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
311 |
306 |
$25K |
| 92552 |
|
5,170 |
4,589 |
$24K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
127 |
102 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
926 |
842 |
$8K |
| 90674 |
|
393 |
326 |
$5K |
| 99381 |
|
65 |
63 |
$5K |
| 90474 |
|
218 |
208 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
271 |
233 |
$4K |
| 90686 |
|
1,158 |
1,026 |
$4K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
46 |
38 |
$3K |
| 87905 |
|
210 |
195 |
$3K |
| 0001A |
|
72 |
39 |
$3K |
| 99215 |
Prolong outpt/office vis |
26 |
24 |
$3K |
| 90620 |
|
277 |
206 |
$3K |
| 99442 |
|
69 |
56 |
$3K |
| 99384 |
|
21 |
19 |
$2K |
| 90734 |
|
601 |
511 |
$2K |
| 91320 |
|
35 |
31 |
$2K |
| 99173 |
|
3,611 |
3,123 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 83655 |
|
122 |
116 |
$2K |
| 99383 |
|
15 |
12 |
$2K |
| 90670 |
|
784 |
727 |
$2K |
| 99441 |
|
75 |
51 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
109 |
96 |
$2K |
| 90756 |
|
183 |
110 |
$2K |
| 0052A |
|
47 |
25 |
$2K |
| 0002A |
|
29 |
17 |
$1K |
| 90656 |
|
178 |
170 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
133 |
106 |
$1K |
| 99382 |
|
13 |
12 |
$988.50 |
| 81025 |
|
120 |
111 |
$862.29 |
| 0051A |
|
35 |
16 |
$845.00 |
| 90651 |
|
372 |
340 |
$805.01 |
| 87807 |
|
56 |
49 |
$748.89 |
| 85018 |
|
269 |
248 |
$632.67 |
| 87808 |
|
45 |
43 |
$549.17 |
| 90715 |
|
336 |
287 |
$478.85 |
| 90621 |
|
44 |
42 |
$195.20 |
| 90619 |
|
212 |
187 |
$171.22 |
| 81002 |
|
57 |
54 |
$139.21 |
| 90649 |
|
724 |
631 |
$134.37 |
| 99177 |
|
1,548 |
1,473 |
$91.35 |
| 96127 |
|
19 |
19 |
$76.50 |
| 3074F |
|
33 |
28 |
$0.00 |
| 90657 |
|
53 |
52 |
$0.00 |
| 90723 |
|
146 |
139 |
$0.00 |
| 3080F |
|
122 |
110 |
$0.00 |
| 90680 |
|
196 |
185 |
$0.00 |
| 3079F |
|
106 |
92 |
$0.00 |
| 3075F |
|
55 |
53 |
$0.00 |
| 90677 |
|
39 |
39 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
53 |
52 |
$0.00 |
| 90698 |
|
15 |
14 |
$0.00 |
| 91305 |
|
117 |
54 |
$0.00 |
| 90696 |
|
18 |
13 |
$0.00 |
| 90633 |
|
533 |
500 |
$0.00 |
| 90658 |
|
319 |
307 |
$0.00 |
| 90710 |
|
372 |
327 |
$0.00 |
| 90700 |
|
24 |
24 |
$0.00 |
| 3078F |
|
55 |
55 |
$0.00 |
| 91300 |
|
173 |
91 |
$0.00 |
| 3077F |
|
178 |
160 |
$0.00 |
| 90648 |
|
126 |
121 |
$0.00 |
| J0741 |
Injection, cabotegravir and rilpivirine, 2mg/3mg |
13 |
12 |
$0.00 |