| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
47,345 |
27,346 |
$283K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,849 |
2,251 |
$266K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,400 |
1,829 |
$157K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,756 |
1,427 |
$156K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
786 |
701 |
$76K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,699 |
1,478 |
$45K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,371 |
2,041 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,558 |
2,272 |
$25K |
| 99381 |
|
259 |
232 |
$24K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
387 |
323 |
$13K |
| 90474 |
|
615 |
539 |
$12K |
| D0145 |
Oral evaluation for a patient under three years of age |
283 |
269 |
$10K |
| 96127 |
|
2,332 |
2,017 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
674 |
281 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
61 |
40 |
$6K |
| D1206 |
Topical application of fluoride varnish |
283 |
269 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
306 |
$4K |
| 92551 |
|
656 |
566 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
31 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
26 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
123 |
112 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 99173 |
|
816 |
717 |
$1K |
| 85018 |
|
429 |
399 |
$1K |
| 90677 |
|
399 |
391 |
$285.29 |
| 90661 |
|
46 |
45 |
$32.65 |
| 90674 |
|
112 |
103 |
$0.01 |
| 90680 |
|
360 |
303 |
$0.00 |
| 90686 |
|
49 |
37 |
$0.00 |
| 90697 |
|
484 |
437 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 99000 |
|
32 |
24 |
$0.00 |
| 90647 |
|
13 |
13 |
$0.00 |
| 90670 |
|
390 |
327 |
$0.00 |
| 90648 |
|
94 |
79 |
$0.00 |
| 90633 |
|
119 |
106 |
$0.00 |
| 90671 |
|
284 |
222 |
$0.00 |
| 90681 |
|
258 |
233 |
$0.00 |