| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34,573 |
30,016 |
$2.96M |
| 99199 |
Unlisted special service, procedure or report |
243,520 |
147,531 |
$1.45M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20,475 |
17,998 |
$1.17M |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,830 |
5,324 |
$540K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,170 |
5,714 |
$528K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
12,628 |
11,380 |
$523K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,052 |
5,528 |
$511K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,947 |
5,252 |
$496K |
| 99401 |
|
13,405 |
11,127 |
$368K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,668 |
6,178 |
$355K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,149 |
3,816 |
$141K |
| 99442 |
|
3,145 |
2,563 |
$138K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,111 |
4,397 |
$133K |
| 99215 |
Prolong outpt/office vis |
1,072 |
938 |
$122K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,435 |
8,567 |
$91K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,429 |
4,195 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,765 |
5,001 |
$76K |
| D1206 |
Topical application of fluoride varnish |
4,162 |
3,829 |
$62K |
| 96127 |
|
15,625 |
13,803 |
$61K |
| 99070 |
|
9,351 |
7,843 |
$56K |
| 96160 |
|
6,978 |
6,183 |
$23K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,005 |
984 |
$22K |
| 99443 |
|
298 |
266 |
$20K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
392 |
377 |
$14K |
| 90651 |
|
1,335 |
1,231 |
$14K |
| 90461 |
|
6,393 |
5,744 |
$13K |
| 87807 |
|
990 |
846 |
$13K |
| 99381 |
|
132 |
113 |
$13K |
| 96161 |
|
3,139 |
2,624 |
$10K |
| 83655 |
|
676 |
557 |
$9K |
| 90620 |
|
916 |
828 |
$9K |
| 90734 |
|
1,110 |
958 |
$9K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
270 |
224 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
360 |
328 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
220 |
211 |
$7K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
441 |
400 |
$7K |
| 95117 |
|
599 |
312 |
$5K |
| 99050 |
|
158 |
150 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
40 |
$4K |
| 99441 |
|
158 |
152 |
$4K |
| 0071A |
|
74 |
55 |
$4K |
| 0072A |
|
61 |
54 |
$3K |
| 81003 |
|
1,032 |
947 |
$3K |
| Q3014 |
Telehealth originating site facility fee |
115 |
103 |
$2K |
| 90686 |
|
3,935 |
3,703 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
29 |
26 |
$2K |
| 0073A |
|
28 |
24 |
$2K |
| 90474 |
|
105 |
104 |
$1K |
| 99173 |
|
12,250 |
11,349 |
$1K |
| 85018 |
|
951 |
885 |
$1K |
| 92551 |
|
6,138 |
5,696 |
$1K |
| 81025 |
|
183 |
150 |
$1K |
| 0002A |
|
14 |
14 |
$845.00 |
| 99051 |
|
20 |
19 |
$556.00 |
| 90688 |
|
29 |
18 |
$294.30 |
| 96380 |
|
12 |
12 |
$188.54 |
| 90715 |
|
162 |
131 |
$161.47 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
17 |
17 |
$152.70 |
| 36410 |
|
12 |
12 |
$147.41 |
| 90633 |
|
1,064 |
953 |
$98.34 |
| 99177 |
|
2,723 |
2,400 |
$70.50 |
| 82962 |
|
21 |
16 |
$60.69 |
| 90716 |
|
122 |
106 |
$29.75 |
| 90710 |
|
107 |
92 |
$1.40 |
| 90670 |
|
3,248 |
2,989 |
$1.32 |
| 90680 |
|
1,296 |
1,183 |
$0.00 |
| 90647 |
|
1,145 |
1,057 |
$0.00 |
| 90723 |
|
2,220 |
2,052 |
$0.00 |
| 90656 |
|
613 |
597 |
$0.00 |
| 90677 |
|
198 |
195 |
$0.00 |
| 91307 |
|
170 |
131 |
$0.00 |
| 90698 |
|
52 |
51 |
$0.00 |
| 90696 |
|
77 |
66 |
$0.00 |
| 90681 |
|
121 |
121 |
$0.00 |
| 91300 |
|
23 |
19 |
$0.00 |
| 90685 |
|
227 |
226 |
$0.00 |
| 90707 |
|
125 |
109 |
$0.00 |