| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
638,744 |
322,601 |
$3.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,389 |
5,312 |
$538K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,225 |
4,809 |
$351K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,644 |
2,060 |
$213K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,109 |
1,733 |
$177K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,549 |
1,286 |
$134K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,866 |
3,223 |
$125K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,466 |
5,336 |
$116K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
946 |
755 |
$84K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,206 |
4,085 |
$41K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,134 |
881 |
$25K |
| D0145 |
Oral evaluation for a patient under three years of age |
920 |
761 |
$24K |
| 96127 |
|
4,720 |
3,750 |
$19K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
341 |
270 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,209 |
1,064 |
$14K |
| 99408 |
|
545 |
438 |
$14K |
| D1206 |
Topical application of fluoride varnish |
925 |
771 |
$11K |
| 99460 |
|
135 |
120 |
$11K |
| 90474 |
|
551 |
491 |
$10K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
142 |
127 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
196 |
164 |
$8K |
| 83718 |
|
922 |
727 |
$8K |
| 90651 |
|
301 |
233 |
$5K |
| 82465 |
|
922 |
726 |
$4K |
| 96161 |
|
933 |
777 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
101 |
68 |
$2K |
| 85018 |
|
1,484 |
1,191 |
$2K |
| 94664 |
|
213 |
148 |
$2K |
| 87807 |
|
159 |
119 |
$2K |
| 92552 |
|
4,290 |
3,517 |
$1K |
| 90734 |
|
150 |
132 |
$1K |
| 90686 |
|
1,314 |
1,154 |
$791.34 |
| 90670 |
|
1,607 |
1,364 |
$693.22 |
| 99173 |
|
4,695 |
3,860 |
$454.83 |
| 96160 |
|
143 |
124 |
$452.54 |
| 99406 |
|
54 |
45 |
$441.71 |
| 90698 |
|
1,359 |
1,149 |
$319.07 |
| 90715 |
|
40 |
26 |
$133.65 |
| 90744 |
|
640 |
538 |
$70.00 |
| 94761 |
|
36 |
26 |
$35.55 |
| 90633 |
|
536 |
428 |
$32.86 |
| 94760 |
|
1,631 |
1,363 |
$25.70 |
| 36416 |
|
2,634 |
2,112 |
$12.90 |
| 90707 |
|
241 |
209 |
$0.00 |
| 90685 |
|
135 |
110 |
$0.00 |
| 99000 |
|
1,454 |
1,269 |
$0.00 |
| 90680 |
|
667 |
577 |
$0.00 |
| 90677 |
|
62 |
57 |
$0.00 |
| S8096 |
Portable peak flow meter |
48 |
28 |
$0.00 |
| 90716 |
|
270 |
232 |
$0.00 |
| 90619 |
|
37 |
27 |
$0.00 |
| 90688 |
|
12 |
12 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |