| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
135,798 |
83,504 |
$805K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,098 |
4,684 |
$468K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,624 |
4,119 |
$286K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,031 |
255 |
$265K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,425 |
2,168 |
$213K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,101 |
1,808 |
$198K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
896 |
837 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,237 |
1,162 |
$109K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,223 |
2,841 |
$98K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,877 |
4,229 |
$92K |
| 99442 |
|
1,677 |
1,327 |
$81K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,442 |
8,350 |
$79K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,753 |
1,756 |
$51K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,661 |
3,404 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,137 |
5,458 |
$48K |
| 99215 |
Prolong outpt/office vis |
316 |
306 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
378 |
359 |
$31K |
| 92552 |
|
5,820 |
5,120 |
$14K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
863 |
684 |
$13K |
| 81025 |
|
1,525 |
1,271 |
$10K |
| 99443 |
|
121 |
105 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
241 |
219 |
$8K |
| 92567 |
|
618 |
584 |
$8K |
| 81002 |
|
5,576 |
4,820 |
$8K |
| 99401 |
|
226 |
182 |
$7K |
| 93000 |
|
347 |
294 |
$5K |
| 99441 |
|
150 |
112 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
194 |
181 |
$3K |
| 99381 |
|
26 |
24 |
$2K |
| 99070 |
|
193 |
186 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
155 |
154 |
$2K |
| 94010 |
|
59 |
54 |
$1K |
| 90474 |
|
55 |
55 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
415 |
349 |
$1K |
| 99051 |
|
39 |
37 |
$981.71 |
| 96127 |
|
168 |
156 |
$883.37 |
| 87428 |
|
16 |
13 |
$635.90 |
| 99173 |
|
5,850 |
5,150 |
$511.67 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
16 |
13 |
$318.39 |
| 95117 |
|
19 |
14 |
$153.76 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
32 |
30 |
$40.89 |
| 90715 |
|
448 |
406 |
$0.03 |
| 90649 |
|
405 |
378 |
$0.03 |
| 90734 |
|
749 |
646 |
$0.03 |
| 90716 |
|
518 |
495 |
$0.01 |
| 90744 |
|
276 |
268 |
$0.01 |
| 90707 |
|
517 |
497 |
$0.01 |
| 90633 |
|
510 |
483 |
$0.01 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
598 |
517 |
$0.00 |
| 90686 |
|
337 |
315 |
$0.00 |
| 90651 |
|
592 |
466 |
$0.00 |
| 90619 |
|
107 |
85 |
$0.00 |
| 90696 |
|
59 |
41 |
$0.00 |
| J7620 |
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme |
192 |
187 |
$0.00 |
| 90680 |
|
56 |
56 |
$0.00 |
| 90698 |
|
14 |
12 |
$0.00 |
| 91307 |
|
24 |
16 |
$0.00 |
| 90713 |
|
888 |
843 |
$0.00 |
| 90700 |
|
1,082 |
1,025 |
$0.00 |
| 90670 |
|
651 |
621 |
$0.00 |
| 90621 |
|
71 |
58 |
$0.00 |
| 90648 |
|
487 |
475 |
$0.00 |
| 90710 |
|
153 |
124 |
$0.00 |
| 1160F |
|
13 |
12 |
$0.00 |