| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
113,942 |
42,438 |
$586K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,345 |
7,423 |
$456K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,939 |
4,472 |
$399K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,626 |
5,286 |
$234K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,979 |
1,918 |
$165K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,527 |
1,437 |
$122K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
806 |
751 |
$67K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,646 |
1,607 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,784 |
4,569 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,229 |
1,025 |
$28K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
792 |
732 |
$27K |
| D1206 |
Topical application of fluoride varnish |
1,849 |
1,807 |
$24K |
| 96127 |
|
2,996 |
2,332 |
$18K |
| 92552 |
|
1,303 |
1,217 |
$16K |
| 90837 |
Psychotherapy, 53 minutes with patient |
154 |
85 |
$12K |
| 99070 |
|
1,192 |
1,054 |
$10K |
| 90461 |
|
2,242 |
2,146 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
518 |
498 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
73 |
68 |
$7K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
1,073 |
938 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
270 |
239 |
$5K |
| 0072A |
|
57 |
47 |
$3K |
| 99173 |
|
2,659 |
2,504 |
$3K |
| 96161 |
|
800 |
750 |
$3K |
| 0071A |
|
51 |
43 |
$3K |
| 99401 |
|
98 |
87 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
226 |
214 |
$2K |
| 96160 |
|
589 |
551 |
$2K |
| 90686 |
|
1,921 |
1,819 |
$2K |
| 99051 |
|
95 |
92 |
$1K |
| 94664 |
|
125 |
111 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
19 |
17 |
$1K |
| 99441 |
|
52 |
45 |
$1K |
| 90480 |
|
12 |
12 |
$780.00 |
| 87807 |
|
63 |
58 |
$775.84 |
| 92551 |
|
1,324 |
1,257 |
$612.11 |
| 83655 |
|
17 |
17 |
$253.81 |
| 91307 |
|
137 |
108 |
$128.28 |
| 83718 |
|
15 |
15 |
$121.20 |
| 85018 |
|
42 |
42 |
$108.39 |
| 90656 |
|
163 |
138 |
$78.21 |
| 82465 |
|
15 |
15 |
$64.32 |
| 90647 |
|
427 |
407 |
$29.52 |
| 90633 |
|
124 |
120 |
$0.01 |
| 90670 |
|
922 |
885 |
$0.00 |
| 90707 |
|
110 |
108 |
$0.00 |
| 90681 |
|
27 |
25 |
$0.00 |
| 91300 |
|
14 |
12 |
$0.00 |
| 90716 |
|
100 |
98 |
$0.00 |
| 36416 |
|
939 |
867 |
$0.00 |
| 90723 |
|
493 |
470 |
$0.00 |
| 99000 |
|
1,519 |
1,369 |
$0.00 |
| 90677 |
|
80 |
71 |
$0.00 |