| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33,031 |
26,186 |
$2.15M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,465 |
13,669 |
$1.68M |
| 99199 |
Unlisted special service, procedure or report |
179,811 |
89,182 |
$959K |
| 99215 |
Prolong outpt/office vis |
6,400 |
5,023 |
$823K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,669 |
4,157 |
$434K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,204 |
3,665 |
$424K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,193 |
3,761 |
$383K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,329 |
2,838 |
$298K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14,635 |
6,089 |
$190K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
9,290 |
8,394 |
$180K |
| 92567 |
|
13,140 |
9,010 |
$169K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
10,915 |
9,140 |
$144K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,696 |
3,360 |
$132K |
| D0145 |
Oral evaluation for a patient under three years of age |
3,212 |
2,880 |
$107K |
| 92552 |
|
11,740 |
10,295 |
$57K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,199 |
5,574 |
$49K |
| D1206 |
Topical application of fluoride varnish |
3,215 |
2,880 |
$47K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
414 |
352 |
$41K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
4,080 |
3,094 |
$40K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
915 |
823 |
$35K |
| 85018 |
|
16,272 |
14,296 |
$29K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
703 |
606 |
$28K |
| 99354 |
|
285 |
249 |
$27K |
| 94010 |
|
1,050 |
982 |
$26K |
| 87807 |
|
1,600 |
1,329 |
$21K |
| 99417 |
Prolong home eval add 15m |
58 |
55 |
$13K |
| 90734 |
|
786 |
667 |
$11K |
| 81002 |
|
3,984 |
3,061 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
67 |
65 |
$10K |
| 83655 |
|
641 |
564 |
$9K |
| 99173 |
|
11,963 |
10,467 |
$6K |
| 99381 |
|
54 |
54 |
$5K |
| 81025 |
|
722 |
550 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
345 |
180 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$3K |
| 90756 |
|
121 |
119 |
$2K |
| 90715 |
|
546 |
473 |
$2K |
| 90688 |
|
97 |
85 |
$1K |
| 99382 |
|
19 |
18 |
$1K |
| 69210 |
|
34 |
25 |
$1K |
| 99401 |
|
35 |
20 |
$1K |
| 99383 |
|
15 |
14 |
$1K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
285 |
140 |
$768.83 |
| 90716 |
|
834 |
749 |
$309.46 |
| 88720 |
|
34 |
25 |
$205.59 |
| 90686 |
|
1,928 |
1,756 |
$90.38 |
| 90658 |
|
545 |
514 |
$88.34 |
| 90707 |
|
802 |
723 |
$78.72 |
| 82962 |
|
26 |
25 |
$75.14 |
| 90633 |
|
17 |
14 |
$64.28 |
| 90713 |
|
113 |
105 |
$32.15 |
| 90647 |
|
1,160 |
1,083 |
$0.01 |
| 90700 |
|
828 |
748 |
$0.01 |
| 90723 |
|
1,159 |
1,074 |
$0.00 |
| 90680 |
|
392 |
362 |
$0.00 |
| 90619 |
|
248 |
214 |
$0.00 |
| 90677 |
|
198 |
183 |
$0.00 |
| 90697 |
|
190 |
180 |
$0.00 |
| 90657 |
|
63 |
61 |
$0.00 |
| 90670 |
|
1,970 |
1,787 |
$0.00 |
| 90661 |
|
208 |
207 |
$0.00 |
| 90685 |
|
77 |
77 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| 90687 |
|
270 |
265 |
$0.00 |