| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,054 |
10,428 |
$1.08M |
| 99199 |
Unlisted special service, procedure or report |
110,318 |
55,476 |
$871K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,708 |
6,748 |
$548K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,543 |
3,038 |
$312K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,315 |
2,693 |
$282K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,013 |
2,466 |
$276K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,526 |
8,734 |
$190K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,256 |
1,602 |
$166K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,997 |
4,042 |
$154K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,557 |
1,237 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,558 |
5,126 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,809 |
1,420 |
$43K |
| 96127 |
|
8,001 |
6,513 |
$36K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
704 |
573 |
$33K |
| 99408 |
|
1,329 |
1,051 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,068 |
1,715 |
$26K |
| 90651 |
|
810 |
694 |
$20K |
| D0145 |
Oral evaluation for a patient under three years of age |
555 |
447 |
$17K |
| 99215 |
Prolong outpt/office vis |
103 |
88 |
$11K |
| 0002A |
|
188 |
132 |
$9K |
| 90734 |
|
506 |
438 |
$9K |
| 90474 |
|
517 |
386 |
$8K |
| 96160 |
|
2,525 |
2,021 |
$8K |
| 83718 |
|
802 |
662 |
$7K |
| 0071A |
|
143 |
101 |
$7K |
| 0001A |
|
134 |
104 |
$7K |
| 0072A |
|
127 |
89 |
$7K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
226 |
198 |
$6K |
| 85018 |
|
3,629 |
2,954 |
$6K |
| D1206 |
Topical application of fluoride varnish |
360 |
299 |
$5K |
| 96161 |
|
1,431 |
964 |
$4K |
| 92552 |
|
8,352 |
6,994 |
$4K |
| 82465 |
|
803 |
662 |
$4K |
| 90621 |
|
162 |
140 |
$3K |
| 99401 |
|
184 |
142 |
$3K |
| 90686 |
|
3,452 |
2,906 |
$3K |
| 94760 |
|
10,668 |
7,622 |
$2K |
| 99381 |
|
23 |
15 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
115 |
107 |
$1K |
| 87807 |
|
103 |
90 |
$1K |
| 99173 |
|
8,484 |
7,119 |
$1K |
| 90688 |
|
349 |
322 |
$864.90 |
| 90473 |
|
74 |
41 |
$794.39 |
| 90715 |
|
204 |
171 |
$650.73 |
| 81003 |
|
236 |
174 |
$591.33 |
| 94664 |
|
57 |
36 |
$422.94 |
| 90619 |
|
241 |
205 |
$304.80 |
| 90633 |
|
636 |
519 |
$293.52 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
30 |
25 |
$239.32 |
| 90716 |
|
53 |
46 |
$162.47 |
| 90696 |
|
89 |
74 |
$121.96 |
| 90707 |
|
65 |
57 |
$92.00 |
| 90656 |
|
262 |
247 |
$20.00 |
| 36416 |
|
4,245 |
3,478 |
$9.75 |
| 91300 |
|
411 |
282 |
$0.01 |
| 90670 |
|
1,546 |
1,186 |
$0.00 |
| 90685 |
|
256 |
220 |
$0.00 |
| 90700 |
|
20 |
17 |
$0.00 |
| 90710 |
|
52 |
46 |
$0.00 |
| 99000 |
|
3,279 |
2,390 |
$0.00 |
| 90698 |
|
534 |
388 |
$0.00 |
| 90680 |
|
537 |
406 |
$0.00 |
| 90744 |
|
175 |
133 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
30 |
25 |
$0.00 |
| 90647 |
|
135 |
112 |
$0.00 |
| 90677 |
|
13 |
13 |
$0.00 |
| 91307 |
|
277 |
170 |
$0.00 |
| 90660 |
|
40 |
39 |
$0.00 |
| 90723 |
|
54 |
43 |
$0.00 |