| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,281 |
8,781 |
$600K |
| 99199 |
Unlisted special service, procedure or report |
65,531 |
41,342 |
$374K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,130 |
1,679 |
$162K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,647 |
1,392 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,207 |
992 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,273 |
4,302 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,185 |
974 |
$92K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
825 |
648 |
$71K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,396 |
1,981 |
$57K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,923 |
1,416 |
$47K |
| 99401 |
|
1,135 |
789 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,548 |
2,130 |
$23K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,575 |
1,447 |
$19K |
| D0145 |
Oral evaluation for a patient under three years of age |
544 |
469 |
$17K |
| 92552 |
|
3,329 |
2,684 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
432 |
353 |
$14K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,013 |
457 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
152 |
142 |
$9K |
| D1206 |
Topical application of fluoride varnish |
545 |
469 |
$8K |
| 97802 |
|
1,018 |
822 |
$8K |
| G9919 |
Screening performed and positive and provision of recommendations |
229 |
198 |
$6K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
133 |
76 |
$3K |
| 90474 |
|
174 |
152 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
85 |
83 |
$3K |
| 96160 |
|
923 |
709 |
$3K |
| 99460 |
|
36 |
31 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
34 |
28 |
$2K |
| 99173 |
|
2,775 |
2,244 |
$2K |
| 90686 |
|
1,533 |
1,200 |
$1K |
| 90651 |
|
57 |
50 |
$704.86 |
| 99070 |
|
44 |
37 |
$184.62 |
| 85018 |
|
20 |
15 |
$58.40 |
| 81002 |
|
15 |
15 |
$15.75 |
| 90698 |
|
301 |
264 |
$0.04 |
| 90670 |
|
659 |
571 |
$0.01 |
| 90680 |
|
164 |
150 |
$0.00 |
| 90744 |
|
83 |
62 |
$0.00 |
| 36416 |
|
20 |
15 |
$0.00 |
| S9452 |
Nutrition classes, non-physician provider, per session |
12 |
12 |
$0.00 |
| 3008F |
|
13 |
13 |
$0.00 |
| 90633 |
|
62 |
42 |
$0.00 |
| 90685 |
|
96 |
88 |
$0.00 |
| 90648 |
|
16 |
13 |
$0.00 |
| 98960 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |