| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,686 |
16,854 |
$1.42M |
| 99199 |
Unlisted special service, procedure or report |
126,791 |
77,927 |
$733K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,848 |
6,350 |
$648K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,028 |
4,330 |
$464K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,346 |
3,623 |
$433K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,320 |
3,710 |
$411K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,796 |
6,643 |
$381K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,754 |
3,303 |
$344K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
14,943 |
12,663 |
$278K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
4,279 |
3,296 |
$198K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,488 |
4,643 |
$139K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
796 |
722 |
$114K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,140 |
1,110 |
$75K |
| 96127 |
|
18,271 |
15,659 |
$71K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,803 |
7,621 |
$71K |
| 80047 |
|
2,844 |
2,496 |
$70K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,105 |
1,807 |
$68K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
7,706 |
6,525 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,643 |
4,026 |
$62K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,504 |
1,315 |
$56K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
5,614 |
4,694 |
$54K |
| 90474 |
|
1,860 |
1,677 |
$36K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
400 |
319 |
$36K |
| D1206 |
Topical application of fluoride varnish |
2,082 |
1,793 |
$30K |
| 80061 |
Lipid panel |
1,446 |
1,183 |
$21K |
| 87807 |
|
1,550 |
1,289 |
$20K |
| 99383 |
|
185 |
148 |
$19K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,742 |
1,426 |
$17K |
| 83655 |
|
1,015 |
882 |
$14K |
| 92551 |
|
11,757 |
10,008 |
$13K |
| 90651 |
|
1,207 |
987 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
4,433 |
3,840 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
193 |
$10K |
| 90734 |
|
1,281 |
1,047 |
$10K |
| 81003 |
|
3,467 |
3,001 |
$8K |
| 90620 |
|
727 |
534 |
$7K |
| 99384 |
|
61 |
56 |
$7K |
| 94664 |
|
513 |
460 |
$5K |
| 99401 |
|
190 |
152 |
$5K |
| 99382 |
|
39 |
27 |
$5K |
| 99173 |
|
12,466 |
10,604 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
156 |
146 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
116 |
$2K |
| 90686 |
|
4,303 |
3,641 |
$2K |
| 84439 |
|
147 |
146 |
$2K |
| 90715 |
|
648 |
533 |
$1K |
| 90688 |
|
508 |
486 |
$1K |
| 69210 |
|
28 |
27 |
$969.84 |
| 90716 |
|
1,782 |
1,512 |
$933.22 |
| 90461 |
|
17 |
17 |
$552.24 |
| 90619 |
|
436 |
353 |
$464.58 |
| 90480 |
|
16 |
16 |
$425.85 |
| 90649 |
|
682 |
639 |
$403.11 |
| 90621 |
|
126 |
114 |
$287.40 |
| 90677 |
|
356 |
335 |
$268.63 |
| 90633 |
|
1,933 |
1,650 |
$241.75 |
| 90670 |
|
2,841 |
2,481 |
$239.74 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
86 |
38 |
$217.77 |
| 90707 |
|
1,781 |
1,513 |
$178.79 |
| 90744 |
|
1,823 |
1,608 |
$132.13 |
| 90713 |
|
3,586 |
3,145 |
$110.46 |
| 90656 |
|
661 |
597 |
$42.94 |
| 90700 |
|
4,403 |
3,859 |
$26.55 |
| 90648 |
|
3,254 |
2,880 |
$0.00 |
| 90681 |
|
161 |
151 |
$0.00 |
| 90671 |
|
104 |
85 |
$0.00 |
| 90710 |
|
38 |
32 |
$0.00 |
| 90687 |
|
161 |
160 |
$0.00 |
| 90680 |
|
1,121 |
1,036 |
$0.00 |