| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
119,877 |
71,003 |
$713K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,904 |
8,895 |
$611K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,598 |
4,646 |
$458K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,401 |
8,774 |
$184K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,526 |
1,315 |
$129K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,814 |
2,459 |
$99K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
1,463 |
1,127 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
668 |
586 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,621 |
3,034 |
$33K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
335 |
300 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
185 |
135 |
$14K |
| 90686 |
|
4,101 |
3,405 |
$6K |
| 0071A |
|
126 |
89 |
$5K |
| 92551 |
|
2,757 |
2,263 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
64 |
$3K |
| 96127 |
|
466 |
333 |
$2K |
| 87400 |
|
169 |
166 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
158 |
154 |
$2K |
| 90480 |
|
19 |
15 |
$1K |
| 0072A |
|
22 |
13 |
$860.00 |
| 96161 |
|
220 |
188 |
$753.41 |
| 0001A |
|
13 |
12 |
$720.31 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
26 |
$535.69 |
| 99173 |
|
1,021 |
826 |
$525.77 |
| D0145 |
Oral evaluation for a patient under three years of age |
17 |
12 |
$518.83 |
| 99051 |
|
22 |
16 |
$444.80 |
| 96160 |
|
126 |
88 |
$327.12 |
| D1206 |
Topical application of fluoride varnish |
17 |
12 |
$214.78 |
| 99177 |
|
170 |
141 |
$112.23 |
| 90656 |
|
347 |
297 |
$107.57 |
| 90633 |
|
12 |
12 |
$73.76 |
| 36415 |
Collection of venous blood by venipuncture |
17 |
12 |
$40.50 |
| 91307 |
|
172 |
105 |
$33.06 |
| 99072 |
|
4,154 |
3,177 |
$23.10 |
| 36416 |
|
123 |
105 |
$12.64 |
| 94760 |
|
150 |
133 |
$2.07 |
| 3008F |
|
1,963 |
1,543 |
$0.00 |
| 1170F |
|
1,809 |
1,398 |
$0.00 |
| 99000 |
|
592 |
476 |
$0.00 |
| 90723 |
|
61 |
53 |
$0.00 |
| 3351F |
|
145 |
93 |
$0.00 |
| 99174 |
|
37 |
37 |
$0.00 |
| 90648 |
|
227 |
201 |
$0.00 |
| 90685 |
|
182 |
164 |
$0.00 |
| 90670 |
|
246 |
218 |
$0.00 |
| 3725F |
|
98 |
53 |
$0.00 |
| 91300 |
|
29 |
28 |
$0.00 |
| 90681 |
|
15 |
13 |
$0.00 |