| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
128,063 |
70,606 |
$763K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,978 |
10,764 |
$745K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,727 |
7,320 |
$730K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,467 |
2,240 |
$210K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,085 |
1,867 |
$179K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,073 |
1,864 |
$170K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,035 |
3,584 |
$160K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
4,211 |
3,111 |
$150K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,339 |
6,488 |
$143K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
909 |
814 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,092 |
2,562 |
$79K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,849 |
4,310 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,320 |
1,974 |
$30K |
| 90474 |
|
725 |
675 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,484 |
1,322 |
$13K |
| 81002 |
|
3,886 |
3,321 |
$9K |
| 0071A |
|
147 |
110 |
$7K |
| 0072A |
|
131 |
89 |
$7K |
| 96127 |
|
1,414 |
1,102 |
$6K |
| 83655 |
|
391 |
374 |
$5K |
| 90651 |
|
277 |
240 |
$5K |
| 92552 |
|
591 |
458 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
271 |
228 |
$5K |
| 87807 |
|
339 |
283 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
169 |
160 |
$4K |
| 99381 |
|
46 |
38 |
$4K |
| 99401 |
|
168 |
97 |
$4K |
| 0002A |
|
85 |
52 |
$3K |
| 0001A |
|
38 |
38 |
$2K |
| 90686 |
|
2,441 |
2,234 |
$2K |
| 99173 |
|
4,290 |
3,966 |
$2K |
| D1206 |
Topical application of fluoride varnish |
169 |
160 |
$2K |
| 90734 |
|
141 |
124 |
$2K |
| 92551 |
|
1,719 |
1,627 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
84 |
69 |
$967.10 |
| 82465 |
|
179 |
168 |
$886.53 |
| 99050 |
|
20 |
15 |
$556.00 |
| 99051 |
|
15 |
15 |
$397.20 |
| 92587 |
|
17 |
15 |
$350.16 |
| 99441 |
|
19 |
14 |
$321.88 |
| 90715 |
|
55 |
46 |
$316.89 |
| 90688 |
|
108 |
106 |
$228.35 |
| 90619 |
|
12 |
12 |
$160.02 |
| 90716 |
|
663 |
618 |
$124.91 |
| 90633 |
|
582 |
537 |
$98.52 |
| 81025 |
|
12 |
12 |
$93.60 |
| 90707 |
|
646 |
600 |
$70.73 |
| 99177 |
|
106 |
81 |
$46.98 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$32.40 |
| 90670 |
|
1,479 |
1,377 |
$0.00 |
| 90685 |
|
65 |
64 |
$0.00 |
| 91300 |
|
171 |
121 |
$0.00 |
| 1003F |
|
800 |
738 |
$0.00 |
| 90700 |
|
60 |
56 |
$0.00 |
| 92081 |
|
12 |
12 |
$0.00 |
| 90647 |
|
1,100 |
1,014 |
$0.00 |
| 90723 |
|
1,092 |
1,017 |
$0.00 |
| 90680 |
|
748 |
708 |
$0.00 |
| 90696 |
|
86 |
86 |
$0.00 |
| 91307 |
|
312 |
202 |
$0.00 |