| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
179,971 |
107,161 |
$1.06M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,290 |
13,382 |
$894K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,907 |
7,703 |
$775K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,606 |
9,532 |
$469K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,361 |
3,985 |
$386K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,431 |
2,991 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,999 |
2,688 |
$263K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,542 |
1,386 |
$147K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,656 |
6,948 |
$73K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
5,228 |
2,330 |
$67K |
| 87428 |
|
993 |
950 |
$55K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,942 |
3,535 |
$50K |
| 96127 |
|
8,411 |
7,469 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,452 |
1,308 |
$26K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
556 |
507 |
$21K |
| 87636 |
Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B |
110 |
108 |
$15K |
| 80061 |
Lipid panel |
901 |
784 |
$13K |
| D0145 |
Oral evaluation for a patient under three years of age |
382 |
366 |
$13K |
| 92551 |
|
8,925 |
8,043 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
250 |
238 |
$9K |
| 96161 |
|
2,612 |
2,116 |
$8K |
| 87807 |
|
548 |
478 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
345 |
267 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
25 |
25 |
$6K |
| D1206 |
Topical application of fluoride varnish |
383 |
366 |
$6K |
| 82947 |
|
1,018 |
883 |
$4K |
| 99173 |
|
5,865 |
5,093 |
$4K |
| 90686 |
|
4,084 |
3,623 |
$3K |
| 99381 |
|
26 |
24 |
$2K |
| 90734 |
|
91 |
87 |
$2K |
| 90670 |
|
1,541 |
1,384 |
$703.97 |
| 90651 |
|
56 |
52 |
$668.55 |
| 85018 |
|
276 |
225 |
$538.81 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
56 |
48 |
$417.38 |
| 90715 |
|
87 |
80 |
$286.14 |
| 92552 |
|
21 |
15 |
$204.65 |
| 90680 |
|
651 |
613 |
$92.44 |
| 96380 |
|
13 |
13 |
$85.70 |
| 90671 |
|
169 |
167 |
$0.00 |
| 90633 |
|
200 |
194 |
$0.00 |
| 90685 |
|
145 |
138 |
$0.00 |
| 90710 |
|
13 |
12 |
$0.00 |
| 99172 |
|
3,062 |
2,932 |
$0.00 |
| 90677 |
|
185 |
183 |
$0.00 |
| 99174 |
|
75 |
68 |
$0.00 |
| 90698 |
|
412 |
384 |
$0.00 |
| 90744 |
|
96 |
92 |
$0.00 |
| 90619 |
|
63 |
60 |
$0.00 |
| 90656 |
|
281 |
263 |
$0.00 |
| 90697 |
|
75 |
67 |
$0.00 |