| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
121,896 |
95,686 |
$7.41M |
| 99199 |
Unlisted special service, procedure or report |
307,265 |
148,163 |
$1.49M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13,243 |
11,666 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,316 |
9,706 |
$1.05M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12,890 |
11,258 |
$966K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,139 |
7,214 |
$700K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,704 |
4,136 |
$441K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
11,402 |
9,799 |
$424K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
24,630 |
21,041 |
$320K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,790 |
16,615 |
$307K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,455 |
19,299 |
$293K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13,303 |
11,144 |
$254K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,545 |
8,895 |
$192K |
| 97802 |
|
10,152 |
9,177 |
$140K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,776 |
2,408 |
$106K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,613 |
12,743 |
$99K |
| 87807 |
|
4,250 |
3,612 |
$52K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
576 |
489 |
$51K |
| 87430 |
|
3,923 |
3,559 |
$40K |
| 90461 |
|
3,531 |
3,156 |
$40K |
| 99460 |
|
653 |
598 |
$39K |
| 99499 |
|
506 |
428 |
$38K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
602 |
555 |
$33K |
| 92551 |
|
17,179 |
14,789 |
$32K |
| 96127 |
|
5,926 |
4,888 |
$28K |
| 99381 |
|
382 |
349 |
$27K |
| 87276 |
|
2,567 |
2,332 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,578 |
1,366 |
$11K |
| 99383 |
|
108 |
95 |
$9K |
| 99462 |
|
291 |
242 |
$8K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
1,688 |
1,523 |
$7K |
| 81002 |
|
2,344 |
1,982 |
$6K |
| 90647 |
|
6,220 |
5,377 |
$6K |
| 94664 |
|
536 |
440 |
$5K |
| 99382 |
|
47 |
42 |
$4K |
| 87420 |
|
571 |
533 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
126 |
$3K |
| 99051 |
|
203 |
191 |
$2K |
| 85018 |
|
1,002 |
877 |
$2K |
| 90651 |
|
2,341 |
2,043 |
$2K |
| 99384 |
|
16 |
14 |
$1K |
| 99173 |
|
15,165 |
13,037 |
$1K |
| 94760 |
|
9,621 |
7,267 |
$864.73 |
| 90697 |
|
2,348 |
2,109 |
$752.00 |
| 90734 |
|
1,291 |
1,117 |
$533.46 |
| D0145 |
Oral evaluation for a patient under three years of age |
12 |
12 |
$423.12 |
| D1206 |
Topical application of fluoride varnish |
12 |
12 |
$185.28 |
| 90715 |
|
1,725 |
1,522 |
$148.86 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
25 |
$111.66 |
| 90723 |
|
5,446 |
4,716 |
$85.62 |
| 90633 |
|
5,271 |
4,576 |
$68.90 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
16 |
13 |
$62.82 |
| 36416 |
|
1,944 |
1,655 |
$50.56 |
| 90710 |
|
5,347 |
4,570 |
$0.00 |
| 90670 |
|
8,367 |
7,235 |
$0.00 |
| 90681 |
|
4,091 |
3,545 |
$0.00 |
| 90671 |
|
444 |
401 |
$0.00 |
| 90700 |
|
1,713 |
1,490 |
$0.00 |
| 90687 |
|
761 |
689 |
$0.00 |
| 90658 |
|
109 |
81 |
$0.00 |
| 90696 |
|
2,317 |
1,974 |
$0.00 |
| 90619 |
|
826 |
723 |
$0.00 |
| 90688 |
|
2,405 |
2,131 |
$0.00 |
| 90620 |
|
279 |
241 |
$0.00 |
| 0072A |
|
16 |
16 |
$0.00 |
| 90656 |
|
264 |
216 |
$0.00 |
| 99172 |
|
36 |
25 |
$0.00 |
| 91307 |
|
22 |
21 |
$0.00 |
| 90686 |
|
132 |
127 |
$0.00 |
| 94761 |
|
17 |
12 |
$0.00 |
| 90657 |
|
76 |
52 |
$0.00 |