| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,934 |
22,744 |
$2.53M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,080 |
25,914 |
$1.98M |
| 99199 |
Unlisted special service, procedure or report |
280,694 |
148,138 |
$1.28M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17,096 |
14,612 |
$786K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,814 |
5,253 |
$597K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,633 |
4,895 |
$529K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,115 |
4,399 |
$471K |
| 99401 |
|
12,684 |
9,804 |
$428K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
10,361 |
8,640 |
$370K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
10,829 |
9,376 |
$304K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
11,051 |
9,401 |
$301K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
21,220 |
9,207 |
$280K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,495 |
2,120 |
$245K |
| 99051 |
|
9,647 |
8,196 |
$225K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,513 |
8,198 |
$92K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,570 |
7,323 |
$76K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,515 |
1,207 |
$57K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,790 |
2,480 |
$37K |
| 87807 |
|
2,787 |
2,350 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,655 |
1,450 |
$30K |
| 99050 |
|
1,043 |
960 |
$25K |
| D0145 |
Oral evaluation for a patient under three years of age |
415 |
361 |
$15K |
| 96127 |
|
3,625 |
3,033 |
$14K |
| 90651 |
|
367 |
319 |
$13K |
| 90461 |
|
8,393 |
7,203 |
$11K |
| 99493 |
|
111 |
77 |
$11K |
| 92551 |
|
14,226 |
12,136 |
$10K |
| 87081 |
|
1,363 |
1,276 |
$9K |
| 90686 |
|
5,054 |
4,303 |
$7K |
| D1206 |
Topical application of fluoride varnish |
415 |
361 |
$6K |
| 80061 |
Lipid panel |
434 |
361 |
$6K |
| 99173 |
|
14,130 |
12,146 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
194 |
$5K |
| 90734 |
|
202 |
176 |
$3K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
339 |
276 |
$3K |
| 83655 |
|
168 |
153 |
$2K |
| 90791 |
Psychiatric diagnostic evaluation |
16 |
16 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
24 |
13 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
158 |
144 |
$2K |
| 90480 |
|
31 |
28 |
$1K |
| 90672 |
|
570 |
510 |
$1K |
| 81003 |
|
522 |
424 |
$1K |
| 90620 |
|
37 |
31 |
$965.25 |
| 90674 |
|
1,180 |
1,007 |
$525.76 |
| 90671 |
|
193 |
178 |
$228.48 |
| 90633 |
|
349 |
311 |
$208.17 |
| 99177 |
|
273 |
259 |
$122.67 |
| 90715 |
|
17 |
14 |
$116.79 |
| 36416 |
|
9,829 |
7,989 |
$45.24 |
| 36415 |
Collection of venous blood by venipuncture |
18 |
14 |
$37.80 |
| 99000 |
|
2,254 |
1,939 |
$0.04 |
| 90723 |
|
1,172 |
1,016 |
$0.00 |
| 90680 |
|
880 |
770 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
750 |
663 |
$0.00 |
| 99174 |
|
258 |
246 |
$0.00 |
| 90696 |
|
33 |
31 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |
| 90660 |
|
12 |
12 |
$0.00 |
| 90670 |
|
2,393 |
2,084 |
$0.00 |
| 90685 |
|
330 |
311 |
$0.00 |
| 99072 |
|
2,626 |
2,400 |
$0.00 |
| 90648 |
|
2,628 |
2,295 |
$0.00 |
| 90661 |
|
259 |
234 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
727 |
564 |
$0.00 |
| 90710 |
|
31 |
29 |
$0.00 |