| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
371,266 |
296,528 |
$1.99M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,504 |
4,319 |
$326K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,107 |
862 |
$97K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,740 |
7,326 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,288 |
1,095 |
$91K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,231 |
1,084 |
$86K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,621 |
1,430 |
$79K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,261 |
3,674 |
$67K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,037 |
1,738 |
$54K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
657 |
582 |
$53K |
| 99215 |
Prolong outpt/office vis |
290 |
261 |
$43K |
| D0145 |
Oral evaluation for a patient under three years of age |
891 |
761 |
$22K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
199 |
$18K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
445 |
397 |
$12K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
258 |
237 |
$11K |
| 0012A |
|
205 |
199 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,300 |
1,186 |
$10K |
| D1206 |
Topical application of fluoride varnish |
874 |
750 |
$10K |
| 92551 |
|
1,690 |
1,477 |
$9K |
| 81025 |
|
1,575 |
1,248 |
$9K |
| 0011A |
|
343 |
311 |
$9K |
| 0001A |
|
323 |
296 |
$8K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
167 |
143 |
$8K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
50 |
$6K |
| 90651 |
|
784 |
692 |
$6K |
| 81003 |
|
1,741 |
1,499 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
254 |
221 |
$3K |
| 90474 |
|
390 |
357 |
$3K |
| 90686 |
|
3,119 |
2,536 |
$3K |
| 90715 |
|
557 |
493 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
184 |
$2K |
| 0002A |
|
213 |
202 |
$2K |
| 96127 |
|
504 |
443 |
$2K |
| 87210 |
|
513 |
420 |
$2K |
| 83655 |
|
483 |
411 |
$2K |
| 76801 |
|
12 |
12 |
$1K |
| 90620 |
|
298 |
270 |
$1K |
| 99381 |
|
15 |
12 |
$1K |
| 85018 |
|
567 |
489 |
$918.56 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
1,650 |
1,292 |
$790.19 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,649 |
1,293 |
$790.19 |
| 90670 |
|
1,338 |
1,152 |
$704.04 |
| 90619 |
|
478 |
422 |
$584.04 |
| U0001 |
Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel |
19 |
15 |
$430.92 |
| 90677 |
|
60 |
59 |
$277.08 |
| 90734 |
|
375 |
340 |
$244.21 |
| 90633 |
|
703 |
610 |
$196.66 |
| 82947 |
|
43 |
40 |
$187.88 |
| 90473 |
|
92 |
73 |
$187.23 |
| 90656 |
|
218 |
206 |
$185.71 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
113 |
101 |
$164.87 |
| 96160 |
|
144 |
109 |
$134.64 |
| 82120 |
|
402 |
331 |
$132.38 |
| 90716 |
|
16 |
16 |
$114.00 |
| 90682 |
|
13 |
13 |
$101.66 |
| 87520 |
|
310 |
277 |
$87.94 |
| 82950 |
|
15 |
14 |
$72.48 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
1,602 |
1,391 |
$56.45 |
| 99173 |
|
1,654 |
1,425 |
$44.81 |
| 83020 |
|
463 |
408 |
$15.66 |
| 86592 |
|
1,603 |
1,392 |
$10.73 |
| PN000 |
|
250 |
229 |
$0.00 |
| OL068 |
|
14 |
14 |
$0.00 |
| 86336 |
|
28 |
25 |
$0.00 |
| 90685 |
|
336 |
301 |
$0.00 |
| OL057 |
|
12 |
12 |
$0.00 |
| 90710 |
|
512 |
458 |
$0.00 |
| 99177 |
|
71 |
71 |
$0.00 |
| 90700 |
|
111 |
93 |
$0.00 |
| 84702 |
|
28 |
25 |
$0.00 |
| 91300 |
|
179 |
151 |
$0.00 |
| OL229 |
|
14 |
14 |
$0.00 |
| 90647 |
|
843 |
714 |
$0.00 |
| 90723 |
|
558 |
466 |
$0.00 |
| 0V000 |
|
49 |
45 |
$0.00 |
| 91301 |
|
928 |
845 |
$0.00 |
| 90680 |
|
735 |
649 |
$0.00 |
| 87340 |
|
385 |
343 |
$0.00 |
| 90696 |
|
65 |
64 |
$0.00 |
| 86762 |
|
127 |
115 |
$0.00 |
| 82677 |
|
28 |
25 |
$0.00 |
| 82105 |
|
28 |
25 |
$0.00 |
| 91307 |
|
18 |
12 |
$0.00 |
| 0014A |
|
14 |
13 |
$0.00 |
| OL088 |
|
14 |
14 |
$0.00 |
| OL214 |
|
14 |
14 |
$0.00 |
| 90698 |
|
32 |
27 |
$0.00 |
| 91306 |
|
15 |
13 |
$0.00 |