| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
262,429 |
182,871 |
$1.32M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,208 |
1,918 |
$178K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,752 |
1,624 |
$57K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,183 |
3,591 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
464 |
351 |
$53K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,534 |
1,355 |
$37K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
662 |
603 |
$36K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,850 |
1,731 |
$27K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
230 |
209 |
$22K |
| 0001A |
|
392 |
338 |
$20K |
| 0002A |
|
334 |
284 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
169 |
158 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
80 |
79 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,048 |
922 |
$8K |
| 0012A |
|
208 |
195 |
$8K |
| 0071A |
|
142 |
100 |
$7K |
| 96127 |
|
1,154 |
1,002 |
$6K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
340 |
247 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
66 |
57 |
$5K |
| 0072A |
|
93 |
70 |
$5K |
| 0011A |
|
240 |
207 |
$4K |
| 0064A |
|
81 |
63 |
$4K |
| 81025 |
|
496 |
447 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
106 |
91 |
$3K |
| T1002 |
Rn services, up to 15 minutes |
42 |
38 |
$3K |
| 90734 |
|
307 |
252 |
$2K |
| D1206 |
Topical application of fluoride varnish |
106 |
91 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
454 |
354 |
$1K |
| 90688 |
|
354 |
286 |
$1K |
| 90649 |
|
20 |
19 |
$656.80 |
| 92587 |
|
682 |
648 |
$636.34 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
13 |
12 |
$500.00 |
| 90715 |
|
210 |
182 |
$478.00 |
| 90474 |
|
25 |
24 |
$443.30 |
| 85018 |
|
97 |
90 |
$270.21 |
| 96160 |
|
82 |
68 |
$253.22 |
| 90686 |
|
524 |
443 |
$238.99 |
| 83655 |
|
15 |
12 |
$184.68 |
| 86592 |
|
13 |
13 |
$70.46 |
| 87210 |
|
12 |
12 |
$55.29 |
| 92551 |
|
86 |
81 |
$33.08 |
| 99173 |
|
864 |
806 |
$1.00 |
| 90633 |
|
79 |
65 |
$0.00 |
| 91300 |
|
615 |
480 |
$0.00 |
| 90670 |
|
110 |
93 |
$0.00 |
| 90710 |
|
16 |
16 |
$0.00 |
| 90680 |
|
25 |
24 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
55 |
51 |
$0.00 |
| 91301 |
|
471 |
431 |
$0.00 |
| 90619 |
|
62 |
61 |
$0.00 |
| 91307 |
|
253 |
167 |
$0.00 |
| 91306 |
|
75 |
60 |
$0.00 |
| 90651 |
|
64 |
57 |
$0.00 |
| 90723 |
|
25 |
25 |
$0.00 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
17 |
15 |
$0.00 |
| 90696 |
|
13 |
13 |
$0.00 |
| 90647 |
|
29 |
24 |
$0.00 |