| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,110 |
7,803 |
$801K |
| 99199 |
Unlisted special service, procedure or report |
72,706 |
36,576 |
$494K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,753 |
4,694 |
$353K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,608 |
2,297 |
$244K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,280 |
1,944 |
$206K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,026 |
1,697 |
$178K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,977 |
3,440 |
$130K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,719 |
5,727 |
$122K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,009 |
860 |
$96K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,023 |
1,597 |
$93K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,380 |
1,873 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,429 |
3,815 |
$38K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,034 |
900 |
$34K |
| 99215 |
Prolong outpt/office vis |
180 |
144 |
$23K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
570 |
479 |
$23K |
| 96127 |
|
4,903 |
3,945 |
$20K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,528 |
1,261 |
$19K |
| D1206 |
Topical application of fluoride varnish |
1,043 |
905 |
$15K |
| 90474 |
|
640 |
539 |
$12K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
269 |
256 |
$9K |
| 99408 |
|
409 |
342 |
$9K |
| 87807 |
|
332 |
275 |
$4K |
| 83718 |
|
432 |
364 |
$4K |
| 90651 |
|
249 |
202 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
152 |
123 |
$2K |
| 92552 |
|
4,619 |
4,003 |
$2K |
| 82465 |
|
432 |
364 |
$2K |
| 85018 |
|
1,050 |
914 |
$2K |
| 96161 |
|
352 |
310 |
$1K |
| 90686 |
|
1,695 |
1,462 |
$1K |
| 83655 |
|
137 |
120 |
$939.04 |
| 90734 |
|
41 |
35 |
$828.24 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
13 |
$770.64 |
| 99460 |
|
14 |
14 |
$705.46 |
| 90619 |
|
207 |
159 |
$609.63 |
| 99173 |
|
5,041 |
4,382 |
$537.73 |
| 81003 |
|
163 |
127 |
$365.42 |
| 90697 |
|
30 |
29 |
$301.48 |
| 90715 |
|
131 |
104 |
$280.40 |
| 90710 |
|
259 |
209 |
$267.15 |
| 90670 |
|
1,472 |
1,258 |
$207.29 |
| 90698 |
|
1,238 |
1,050 |
$204.55 |
| 90680 |
|
670 |
566 |
$181.51 |
| 90621 |
|
36 |
28 |
$172.43 |
| 90744 |
|
493 |
409 |
$35.00 |
| 90633 |
|
776 |
667 |
$32.22 |
| 90723 |
|
40 |
40 |
$0.00 |
| 90677 |
|
253 |
232 |
$0.00 |
| 90696 |
|
94 |
77 |
$0.00 |
| 90647 |
|
128 |
125 |
$0.00 |
| 94760 |
|
26 |
26 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 90700 |
|
16 |
13 |
$0.00 |
| 90685 |
|
31 |
26 |
$0.00 |
| 90707 |
|
27 |
24 |
$0.00 |
| 91300 |
|
30 |
17 |
$0.00 |