| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23,596 |
20,461 |
$1.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,099 |
13,154 |
$1.35M |
| 99199 |
Unlisted special service, procedure or report |
244,363 |
114,178 |
$1.22M |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
4,199 |
3,514 |
$554K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,162 |
2,812 |
$287K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13,389 |
12,044 |
$257K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,160 |
1,909 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,075 |
1,890 |
$185K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,300 |
4,750 |
$179K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,171 |
10,924 |
$109K |
| 99215 |
Prolong outpt/office vis |
526 |
484 |
$53K |
| 92552 |
|
9,338 |
8,414 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,886 |
2,642 |
$37K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
342 |
308 |
$33K |
| D0145 |
Oral evaluation for a patient under three years of age |
769 |
709 |
$28K |
| 99401 |
|
838 |
678 |
$26K |
| 96127 |
|
5,096 |
4,087 |
$24K |
| D1206 |
Topical application of fluoride varnish |
797 |
732 |
$13K |
| 99354 |
|
140 |
128 |
$12K |
| 99173 |
|
10,121 |
9,113 |
$8K |
| 87276 |
|
623 |
583 |
$8K |
| 87275 |
|
623 |
583 |
$8K |
| 0071A |
|
147 |
111 |
$7K |
| 0072A |
|
141 |
111 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
796 |
697 |
$7K |
| 90686 |
|
3,974 |
3,622 |
$6K |
| 87081 |
|
982 |
914 |
$6K |
| 0001A |
|
62 |
62 |
$4K |
| 90474 |
|
168 |
145 |
$3K |
| 0002A |
|
50 |
49 |
$3K |
| 96161 |
|
579 |
500 |
$2K |
| 90473 |
|
101 |
89 |
$2K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
15 |
15 |
$1K |
| 90651 |
|
39 |
39 |
$1K |
| 0051A |
|
25 |
12 |
$780.00 |
| 90672 |
|
209 |
186 |
$315.22 |
| 91305 |
|
75 |
42 |
$128.92 |
| 90656 |
|
428 |
401 |
$99.67 |
| 91307 |
|
376 |
263 |
$23.19 |
| 90680 |
|
130 |
108 |
$0.00 |
| 90677 |
|
148 |
147 |
$0.00 |
| 99000 |
|
1,665 |
1,392 |
$0.00 |
| 90647 |
|
201 |
177 |
$0.00 |
| 90723 |
|
275 |
239 |
$0.00 |
| 90660 |
|
16 |
16 |
$0.00 |
| 99072 |
|
5,985 |
4,527 |
$0.00 |
| 91300 |
|
79 |
65 |
$0.00 |
| 90633 |
|
74 |
64 |
$0.00 |
| 90670 |
|
646 |
559 |
$0.00 |
| 91308 |
|
82 |
62 |
$0.00 |