| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99402 |
|
42,518 |
36,125 |
$3.47M |
| 90832 |
Psychotherapy, 30 minutes with patient |
7,806 |
4,805 |
$324K |
| H2000 |
Comprehensive multidisciplinary evaluation |
3,020 |
3,010 |
$318K |
| 90834 |
Psychotherapy, 45 minutes with patient |
4,796 |
3,221 |
$262K |
| H1000 |
Prenatal care, at-risk assessment |
2,053 |
2,043 |
$171K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,502 |
1,038 |
$125K |
| V5008 |
Hearing screening |
11,707 |
11,597 |
$108K |
| 90791 |
Psychiatric diagnostic evaluation |
730 |
729 |
$105K |
| 99172 |
|
11,303 |
10,697 |
$105K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,241 |
2,047 |
$101K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,574 |
10,443 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,128 |
5,093 |
$93K |
| G9011 |
Coordinated care fee, risk adjusted maintenance, level 5 |
2,008 |
2,005 |
$80K |
| 0002A |
|
1,750 |
1,748 |
$63K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
763 |
763 |
$59K |
| 0001A |
|
1,917 |
1,911 |
$58K |
| D1206 |
Topical application of fluoride varnish |
1,896 |
1,893 |
$53K |
| 83655 |
|
4,890 |
4,832 |
$51K |
| 85018 |
|
20,571 |
20,501 |
$44K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,020 |
2,014 |
$41K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,935 |
2,809 |
$37K |
| 0012A |
|
978 |
978 |
$35K |
| 90651 |
|
1,463 |
1,458 |
$32K |
| 90632 |
|
569 |
566 |
$31K |
| 91320 |
|
349 |
349 |
$31K |
| D0190 |
|
1,704 |
1,704 |
$30K |
| T1023 |
Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
346 |
345 |
$30K |
| 90688 |
|
1,935 |
1,932 |
$29K |
| 0011A |
|
1,031 |
1,030 |
$26K |
| 90620 |
|
662 |
661 |
$24K |
| D0191 |
|
902 |
900 |
$22K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
281 |
279 |
$22K |
| 96154 |
|
311 |
204 |
$20K |
| S0215 |
Non-emergency transportation; mileage, per mile |
1,214 |
398 |
$19K |
| 90480 |
|
472 |
472 |
$18K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,933 |
1,923 |
$17K |
| 90750 |
|
109 |
109 |
$16K |
| 0004A |
|
425 |
425 |
$15K |
| 0064A |
|
420 |
420 |
$14K |
| 90715 |
|
1,486 |
1,481 |
$12K |
| 86580 |
|
1,858 |
1,731 |
$10K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
108 |
108 |
$10K |
| 36416 |
|
1,686 |
1,654 |
$9K |
| 0072A |
|
252 |
252 |
$9K |
| 0071A |
|
236 |
236 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
243 |
237 |
$7K |
| 0124A |
|
218 |
218 |
$7K |
| 90716 |
|
321 |
321 |
$7K |
| 99385 |
|
68 |
68 |
$6K |
| D1351 |
Sealant - per tooth |
262 |
50 |
$6K |
| 0134A |
|
167 |
166 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
305 |
295 |
$5K |
| 92551 |
|
966 |
965 |
$5K |
| 90746 |
|
92 |
92 |
$5K |
| 90734 |
|
1,500 |
1,495 |
$5K |
| 90686 |
|
2,278 |
2,272 |
$5K |
| G9002 |
Coordinated care fee, maintenance rate |
128 |
128 |
$4K |
| 0054A |
|
102 |
102 |
$4K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
103 |
102 |
$4K |
| 0031A |
|
96 |
96 |
$3K |
| 90670 |
|
746 |
743 |
$3K |
| 90707 |
|
253 |
253 |
$3K |
| 99600 |
Unlisted home visit service or procedure |
19 |
18 |
$3K |
| 99384 |
|
26 |
26 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
41 |
$2K |
| 90658 |
|
131 |
131 |
$2K |
| 96160 |
|
1,392 |
1,389 |
$2K |
| 0003A |
|
57 |
57 |
$2K |
| 81025 |
|
716 |
698 |
$2K |
| 90636 |
|
13 |
13 |
$1K |
| 96167 |
|
18 |
12 |
$958.29 |
| 83718 |
|
140 |
140 |
$949.20 |
| 90656 |
|
130 |
130 |
$667.92 |
| 90473 |
|
108 |
108 |
$542.84 |
| 0154A |
|
15 |
15 |
$532.49 |
| 0111A |
|
13 |
13 |
$492.02 |
| 82465 |
|
140 |
140 |
$453.90 |
| 99406 |
|
55 |
53 |
$401.06 |
| 82947 |
|
140 |
140 |
$400.79 |
| 36415 |
Collection of venous blood by venipuncture |
88 |
87 |
$326.45 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
35 |
25 |
$272.26 |
| S4993 |
Contraceptive pills for birth control |
55 |
54 |
$177.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14 |
14 |
$169.77 |
| A4267 |
Contraceptive supply, condom, male, each |
238 |
232 |
$26.16 |
| 90744 |
|
69 |
69 |
$26.00 |
| 99173 |
|
1,021 |
1,017 |
$0.00 |
| 90633 |
|
842 |
838 |
$0.00 |
| 90685 |
|
228 |
227 |
$0.00 |
| 91313 |
|
166 |
166 |
$0.00 |
| 91300 |
|
4,198 |
3,963 |
$0.00 |
| 91312 |
|
216 |
216 |
$0.00 |
| 90756 |
|
12 |
12 |
$0.00 |
| 90710 |
|
312 |
312 |
$0.00 |
| 90700 |
|
124 |
123 |
$0.00 |
| 91311 |
|
32 |
32 |
$0.00 |
| 90713 |
|
15 |
14 |
$0.00 |
| 90672 |
|
19 |
19 |
$0.00 |
| 90696 |
|
234 |
234 |
$0.00 |
| 91301 |
|
2,121 |
2,039 |
$0.00 |
| 91303 |
|
125 |
125 |
$0.00 |
| 91319 |
|
12 |
12 |
$0.00 |
| 91307 |
|
507 |
500 |
$0.00 |
| 90647 |
|
193 |
193 |
$0.00 |
| 90723 |
|
42 |
42 |
$0.00 |
| 90698 |
|
212 |
210 |
$0.00 |
| 91306 |
|
377 |
377 |
$0.00 |
| 91305 |
|
174 |
173 |
$0.00 |
| 91315 |
|
15 |
15 |
$0.00 |
| 90680 |
|
76 |
76 |
$0.00 |