| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
218,367 |
97,718 |
$1.08M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,792 |
13,585 |
$881K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,878 |
5,485 |
$498K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,120 |
2,476 |
$247K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,468 |
8,956 |
$196K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,993 |
3,912 |
$155K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,939 |
1,413 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,210 |
949 |
$91K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,976 |
3,128 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
165 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,439 |
530 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
969 |
695 |
$10K |
| 87428 |
|
77 |
72 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
117 |
109 |
$3K |
| 90686 |
|
3,342 |
2,637 |
$3K |
| 87081 |
|
387 |
277 |
$2K |
| 99173 |
|
2,306 |
1,773 |
$1K |
| 92551 |
|
830 |
641 |
$1K |
| 96127 |
|
211 |
174 |
$868.81 |
| 99051 |
|
31 |
25 |
$662.00 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
19 |
17 |
$648.21 |
| 90670 |
|
827 |
636 |
$456.64 |
| 90671 |
|
72 |
65 |
$221.80 |
| 85018 |
|
84 |
65 |
$188.50 |
| 90656 |
|
256 |
237 |
$41.02 |
| 3008F |
|
6,558 |
4,809 |
$3.50 |
| 90633 |
|
35 |
25 |
$0.00 |
| 90681 |
|
18 |
14 |
$0.00 |
| 90723 |
|
196 |
162 |
$0.00 |
| 90647 |
|
255 |
189 |
$0.00 |
| 90677 |
|
15 |
15 |
$0.00 |
| 91307 |
|
20 |
14 |
$0.00 |