| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,201 |
9,920 |
$1.24M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,911 |
11,614 |
$1.02M |
| 99199 |
Unlisted special service, procedure or report |
65,235 |
51,666 |
$281K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,763 |
2,284 |
$278K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,908 |
2,499 |
$273K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,073 |
1,859 |
$190K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,516 |
5,596 |
$122K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,382 |
1,164 |
$118K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,044 |
2,627 |
$94K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,018 |
2,895 |
$89K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,405 |
1,172 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,119 |
3,504 |
$54K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,294 |
989 |
$47K |
| 99401 |
|
1,577 |
994 |
$43K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,193 |
1,054 |
$38K |
| 96127 |
|
7,799 |
6,552 |
$30K |
| 81025 |
|
3,207 |
2,417 |
$22K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
1,155 |
969 |
$18K |
| 94010 |
|
713 |
575 |
$17K |
| D1206 |
Topical application of fluoride varnish |
1,162 |
1,033 |
$17K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,278 |
1,150 |
$12K |
| 85018 |
|
7,253 |
6,188 |
$12K |
| 87807 |
|
938 |
817 |
$12K |
| 81002 |
|
3,681 |
2,663 |
$10K |
| 92551 |
|
6,981 |
5,911 |
$9K |
| 90651 |
|
728 |
621 |
$8K |
| 94664 |
|
678 |
612 |
$7K |
| 99215 |
Prolong outpt/office vis |
44 |
42 |
$6K |
| 90620 |
|
338 |
273 |
$5K |
| 90474 |
|
206 |
185 |
$4K |
| 90734 |
|
445 |
357 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
26 |
$3K |
| 99173 |
|
7,129 |
6,020 |
$3K |
| 90686 |
|
1,942 |
1,631 |
$2K |
| 99441 |
|
71 |
61 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
680 |
553 |
$2K |
| 96160 |
|
793 |
671 |
$2K |
| 96161 |
|
319 |
275 |
$1K |
| 0072A |
|
19 |
15 |
$975.00 |
| 0071A |
|
15 |
12 |
$845.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
14 |
$265.85 |
| 2015F |
|
80 |
60 |
$160.00 |
| 90715 |
|
42 |
41 |
$133.65 |
| 90688 |
|
405 |
385 |
$114.45 |
| J2550 |
Injection, promethazine hcl, up to 50 mg |
90 |
84 |
$93.01 |
| 90633 |
|
200 |
187 |
$35.20 |
| 94760 |
|
49 |
31 |
$8.28 |
| 90670 |
|
712 |
630 |
$0.00 |
| S9470 |
Nutritional counseling, dietitian visit |
1,034 |
934 |
$0.00 |
| 90710 |
|
82 |
70 |
$0.00 |
| A4614 |
Peak expiratory flow rate meter, hand held |
530 |
443 |
$0.00 |
| 97803 |
|
385 |
340 |
$0.00 |
| 90671 |
|
153 |
136 |
$0.00 |
| 90685 |
|
15 |
14 |
$0.00 |
| 90647 |
|
406 |
346 |
$0.00 |
| 1005F |
|
1,036 |
889 |
$0.00 |
| 90723 |
|
198 |
171 |
$0.00 |
| 3008F |
|
1,835 |
1,555 |
$0.00 |
| 90698 |
|
70 |
65 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
629 |
534 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 97802 |
|
164 |
122 |
$0.00 |
| 90680 |
|
198 |
184 |
$0.00 |
| 90656 |
|
251 |
242 |
$0.00 |
| 1038F |
|
64 |
49 |
$0.00 |
| 91307 |
|
46 |
22 |
$0.00 |