| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66,156 |
58,348 |
$4.11M |
| 99199 |
Unlisted special service, procedure or report |
322,493 |
161,636 |
$1.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,567 |
13,337 |
$1.46M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18,683 |
17,137 |
$807K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,236 |
6,624 |
$670K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,538 |
6,025 |
$593K |
| 87428 |
|
7,553 |
6,555 |
$460K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,454 |
4,065 |
$452K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13,118 |
11,912 |
$383K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,053 |
2,831 |
$269K |
| 99051 |
|
8,100 |
7,350 |
$204K |
| 96127 |
|
26,044 |
22,777 |
$144K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,328 |
11,144 |
$123K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,897 |
3,589 |
$78K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,552 |
2,655 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,931 |
1,786 |
$68K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,604 |
1,315 |
$60K |
| D0145 |
Oral evaluation for a patient under three years of age |
986 |
964 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,476 |
1,391 |
$20K |
| 99215 |
Prolong outpt/office vis |
106 |
94 |
$15K |
| 87807 |
|
1,070 |
886 |
$14K |
| D1206 |
Topical application of fluoride varnish |
1,003 |
977 |
$13K |
| 90651 |
|
1,014 |
927 |
$13K |
| 90832 |
Psychotherapy, 30 minutes with patient |
278 |
124 |
$11K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
557 |
487 |
$9K |
| 0001A |
|
112 |
112 |
$7K |
| 99401 |
|
187 |
154 |
$7K |
| 0002A |
|
103 |
101 |
$7K |
| 90686 |
|
8,618 |
7,784 |
$6K |
| 80061 |
Lipid panel |
351 |
318 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
61 |
51 |
$5K |
| 0071A |
|
113 |
78 |
$5K |
| 99070 |
|
598 |
570 |
$5K |
| 96161 |
|
1,228 |
1,138 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
81 |
66 |
$4K |
| 0072A |
|
79 |
54 |
$4K |
| 90834 |
Psychotherapy, 45 minutes with patient |
88 |
51 |
$4K |
| 90734 |
|
439 |
425 |
$3K |
| 90621 |
|
228 |
207 |
$2K |
| 81025 |
|
234 |
193 |
$2K |
| 92551 |
|
17,905 |
16,349 |
$2K |
| 83655 |
|
95 |
90 |
$1K |
| 90619 |
|
427 |
358 |
$1K |
| 99177 |
|
9,186 |
8,078 |
$764.47 |
| 90656 |
|
779 |
756 |
$303.74 |
| 90715 |
|
120 |
103 |
$263.40 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
16 |
14 |
$134.12 |
| 81003 |
|
39 |
37 |
$99.64 |
| 90633 |
|
289 |
281 |
$65.08 |
| 99173 |
|
6,794 |
6,555 |
$19.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
14 |
13 |
$4.40 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
1,649 |
1,494 |
$0.00 |
| 90680 |
|
440 |
420 |
$0.00 |
| 90677 |
|
316 |
310 |
$0.00 |
| 90698 |
|
1,156 |
1,089 |
$0.00 |
| 90744 |
|
75 |
75 |
$0.00 |
| 91307 |
|
236 |
174 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 99000 |
|
50 |
48 |
$0.00 |
| 90670 |
|
1,519 |
1,444 |
$0.00 |
| 90685 |
|
272 |
268 |
$0.00 |
| 91300 |
|
258 |
254 |
$0.00 |
| 90710 |
|
50 |
50 |
$0.00 |