| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,110 |
6,900 |
$687K |
| 99199 |
Unlisted special service, procedure or report |
60,902 |
37,508 |
$352K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,192 |
2,640 |
$184K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,715 |
1,403 |
$59K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,435 |
3,934 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,901 |
2,639 |
$56K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,973 |
1,334 |
$39K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
930 |
826 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
243 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,613 |
1,308 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
135 |
129 |
$12K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
567 |
454 |
$10K |
| 96127 |
|
1,580 |
1,374 |
$6K |
| 81002 |
|
3,010 |
2,685 |
$5K |
| 85018 |
|
2,916 |
2,637 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
160 |
129 |
$3K |
| 87807 |
|
176 |
142 |
$2K |
| 92551 |
|
1,953 |
1,771 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$935.04 |
| 99442 |
|
18 |
17 |
$871.29 |
| 99173 |
|
2,094 |
1,883 |
$817.28 |
| 90686 |
|
811 |
764 |
$478.04 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$456.12 |
| 90734 |
|
28 |
25 |
$443.22 |
| 90651 |
|
14 |
14 |
$210.24 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$201.36 |
| 36415 |
Collection of venous blood by venipuncture |
32 |
24 |
$78.30 |
| 90707 |
|
13 |
12 |
$0.00 |
| 90670 |
|
32 |
27 |
$0.00 |
| 90647 |
|
18 |
13 |
$0.00 |