| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
179,119 |
125,931 |
$944K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,375 |
1,156 |
$88K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,087 |
1,534 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,115 |
3,904 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
953 |
766 |
$48K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
333 |
256 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
223 |
189 |
$18K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
838 |
601 |
$11K |
| 0012A |
|
153 |
142 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
65 |
$6K |
| 0011A |
|
177 |
148 |
$5K |
| 90651 |
|
249 |
205 |
$4K |
| 99384 |
|
50 |
36 |
$3K |
| 99383 |
|
46 |
37 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
28 |
$3K |
| 90686 |
|
2,504 |
2,078 |
$3K |
| 90734 |
|
396 |
277 |
$2K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
37 |
26 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
146 |
$2K |
| D0145 |
Oral evaluation for a patient under three years of age |
56 |
47 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
30 |
27 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
459 |
346 |
$1K |
| D1206 |
Topical application of fluoride varnish |
51 |
46 |
$743.47 |
| 90715 |
|
232 |
179 |
$479.28 |
| 81025 |
|
108 |
57 |
$329.64 |
| 96160 |
|
810 |
641 |
$300.96 |
| 92551 |
|
757 |
563 |
$255.15 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
66 |
52 |
$208.36 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
66 |
52 |
$197.00 |
| 90633 |
|
74 |
52 |
$128.56 |
| 85018 |
|
22 |
20 |
$60.20 |
| 36415 |
Collection of venous blood by venipuncture |
40 |
27 |
$55.60 |
| 99173 |
|
1,112 |
860 |
$50.35 |
| 96127 |
|
406 |
313 |
$4.49 |
| 90688 |
|
202 |
118 |
$0.00 |
| 99000 |
|
569 |
445 |
$0.00 |
| 90656 |
|
33 |
31 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
35 |
24 |
$0.00 |
| 91301 |
|
318 |
286 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
64 |
55 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
37 |
26 |
$0.00 |
| 92552 |
|
188 |
162 |
$0.00 |
| 90710 |
|
15 |
12 |
$0.00 |