| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,107 |
16,450 |
$1.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21,907 |
16,445 |
$1.33M |
| 99199 |
Unlisted special service, procedure or report |
116,731 |
70,696 |
$664K |
| 99401 |
|
14,557 |
9,270 |
$452K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,049 |
3,576 |
$380K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,308 |
2,893 |
$336K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,124 |
7,453 |
$231K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,606 |
4,093 |
$222K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,243 |
2,055 |
$205K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,346 |
8,237 |
$172K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12,980 |
10,425 |
$170K |
| 99215 |
Prolong outpt/office vis |
1,112 |
986 |
$137K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,575 |
1,355 |
$131K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,651 |
2,256 |
$103K |
| 90651 |
|
1,486 |
1,299 |
$31K |
| 90620 |
|
1,597 |
1,453 |
$29K |
| 87807 |
|
1,917 |
1,574 |
$26K |
| 87428 |
|
328 |
285 |
$18K |
| 99442 |
|
310 |
270 |
$16K |
| 99205 |
Prolong outpt/office vis |
76 |
76 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
97 |
89 |
$14K |
| 99070 |
|
1,825 |
1,537 |
$14K |
| 96127 |
|
3,354 |
2,860 |
$13K |
| 90734 |
|
1,044 |
903 |
$12K |
| 81003 |
|
4,779 |
3,786 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,190 |
1,110 |
$10K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
785 |
656 |
$10K |
| 99441 |
|
374 |
288 |
$9K |
| 0001A |
|
262 |
131 |
$8K |
| 99354 |
|
85 |
83 |
$8K |
| 99051 |
|
370 |
266 |
$7K |
| 92551 |
|
4,621 |
4,036 |
$7K |
| D0145 |
Oral evaluation for a patient under three years of age |
210 |
200 |
$7K |
| 0071A |
|
84 |
80 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
258 |
256 |
$5K |
| 0072A |
|
75 |
60 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
31 |
$4K |
| 99443 |
|
49 |
46 |
$4K |
| 90474 |
|
168 |
163 |
$3K |
| 0002A |
|
91 |
54 |
$3K |
| 90686 |
|
3,356 |
2,985 |
$3K |
| 99050 |
|
126 |
123 |
$3K |
| D1206 |
Topical application of fluoride varnish |
193 |
187 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
87 |
81 |
$2K |
| G9919 |
Screening performed and positive and provision of recommendations |
52 |
51 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
382 |
197 |
$1K |
| 90715 |
|
294 |
268 |
$1K |
| 99173 |
|
5,596 |
4,908 |
$991.29 |
| 94760 |
|
2,892 |
2,012 |
$254.34 |
| 90633 |
|
620 |
573 |
$233.44 |
| 87905 |
|
13 |
12 |
$213.46 |
| 90716 |
|
561 |
514 |
$139.02 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
29 |
15 |
$69.44 |
| 96160 |
|
104 |
79 |
$67.51 |
| 90670 |
|
1,308 |
1,154 |
$0.00 |
| 90707 |
|
541 |
494 |
$0.00 |
| 90648 |
|
1,087 |
957 |
$0.00 |
| 97803 |
|
38 |
38 |
$0.00 |
| 90681 |
|
182 |
178 |
$0.00 |
| 91300 |
|
526 |
192 |
$0.00 |
| 99072 |
|
56 |
56 |
$0.00 |
| 99000 |
|
5,992 |
4,602 |
$0.00 |
| 90723 |
|
690 |
611 |
$0.00 |
| 91307 |
|
184 |
150 |
$0.00 |
| 90696 |
|
53 |
46 |
$0.00 |
| 97802 |
|
35 |
35 |
$0.00 |
| 90697 |
|
14 |
12 |
$0.00 |