| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
80,084 |
40,022 |
$585K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,687 |
4,664 |
$460K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,009 |
897 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
932 |
803 |
$74K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,349 |
1,010 |
$72K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,751 |
1,474 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,982 |
2,458 |
$53K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
582 |
486 |
$50K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
583 |
467 |
$44K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
855 |
696 |
$39K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,275 |
1,071 |
$32K |
| D0145 |
Oral evaluation for a patient under three years of age |
791 |
668 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,847 |
1,579 |
$24K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,314 |
1,979 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
481 |
361 |
$15K |
| D1206 |
Topical application of fluoride varnish |
802 |
668 |
$11K |
| 96127 |
|
2,558 |
2,107 |
$10K |
| 99408 |
|
395 |
307 |
$8K |
| 99215 |
Prolong outpt/office vis |
72 |
57 |
$8K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
185 |
165 |
$7K |
| 87807 |
|
469 |
405 |
$6K |
| 83718 |
|
248 |
213 |
$2K |
| 99381 |
|
19 |
12 |
$1K |
| 82465 |
|
248 |
213 |
$1K |
| 85018 |
|
625 |
529 |
$933.99 |
| 92552 |
|
2,719 |
2,271 |
$787.30 |
| 96161 |
|
73 |
64 |
$262.50 |
| 90651 |
|
43 |
41 |
$222.85 |
| 90686 |
|
221 |
203 |
$209.81 |
| 99173 |
|
2,627 |
2,198 |
$148.55 |
| 94664 |
|
14 |
13 |
$133.56 |
| 90677 |
|
136 |
119 |
$0.00 |
| 90698 |
|
327 |
281 |
$0.00 |
| 90680 |
|
16 |
13 |
$0.00 |
| 90619 |
|
16 |
13 |
$0.00 |
| 90688 |
|
24 |
19 |
$0.00 |
| 99000 |
|
13 |
12 |
$0.00 |
| 90670 |
|
251 |
218 |
$0.00 |
| 90633 |
|
118 |
108 |
$0.00 |
| 90756 |
|
15 |
14 |
$0.00 |
| 90715 |
|
13 |
12 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |