| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30,033 |
21,803 |
$1.71M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,196 |
5,633 |
$572K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,350 |
2,559 |
$269K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,289 |
11,315 |
$250K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,895 |
2,156 |
$238K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,943 |
2,236 |
$227K |
| 99199 |
Unlisted special service, procedure or report |
71,532 |
71,480 |
$204K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,915 |
5,307 |
$199K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,399 |
1,020 |
$126K |
| 99051 |
|
2,084 |
1,575 |
$45K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,428 |
3,365 |
$35K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
984 |
788 |
$35K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
204 |
183 |
$20K |
| 87428 |
|
231 |
157 |
$14K |
| 92551 |
|
7,656 |
5,693 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
516 |
236 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
494 |
364 |
$7K |
| 90651 |
|
399 |
284 |
$6K |
| 90686 |
|
7,925 |
5,593 |
$6K |
| D0145 |
Oral evaluation for a patient under three years of age |
181 |
151 |
$5K |
| 90474 |
|
343 |
282 |
$5K |
| 99173 |
|
7,745 |
5,627 |
$4K |
| 96127 |
|
968 |
724 |
$3K |
| 0072A |
|
55 |
46 |
$3K |
| 0071A |
|
65 |
45 |
$3K |
| 0002A |
|
43 |
43 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
95 |
91 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
74 |
50 |
$3K |
| 0001A |
|
39 |
29 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
271 |
210 |
$2K |
| D1206 |
Topical application of fluoride varnish |
181 |
151 |
$2K |
| 90734 |
|
311 |
220 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
84 |
51 |
$1K |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
24 |
12 |
$736.82 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
12 |
$615.72 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
19 |
$490.11 |
| 90716 |
|
15 |
12 |
$110.00 |
| 90698 |
|
1,767 |
1,432 |
$105.50 |
| 94760 |
|
280 |
253 |
$101.43 |
| 81025 |
|
14 |
12 |
$90.96 |
| 92587 |
|
105 |
67 |
$64.36 |
| 99177 |
|
626 |
605 |
$52.20 |
| 81001 |
|
13 |
12 |
$43.01 |
| 90656 |
|
231 |
227 |
$39.10 |
| 90633 |
|
150 |
117 |
$35.80 |
| 90680 |
|
445 |
364 |
$0.00 |
| 3074F |
|
165 |
136 |
$0.00 |
| 90677 |
|
153 |
148 |
$0.00 |
| 90744 |
|
41 |
37 |
$0.00 |
| 90688 |
|
45 |
35 |
$0.00 |
| 90670 |
|
1,711 |
1,345 |
$0.00 |
| 90685 |
|
80 |
74 |
$0.00 |
| 3078F |
|
135 |
112 |
$0.00 |
| 90681 |
|
13 |
13 |
$0.00 |
| 90715 |
|
21 |
12 |
$0.00 |