| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35,013 |
23,396 |
$2.02M |
| 99199 |
Unlisted special service, procedure or report |
128,018 |
80,820 |
$635K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,266 |
7,619 |
$529K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,330 |
1,756 |
$193K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,474 |
1,680 |
$178K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,133 |
1,401 |
$160K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,684 |
1,255 |
$129K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,015 |
1,842 |
$70K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
778 |
496 |
$56K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,559 |
2,912 |
$51K |
| 95117 |
|
4,493 |
1,315 |
$37K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,287 |
4,513 |
$36K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
3,625 |
2,064 |
$17K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
64 |
26 |
$15K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
85 |
63 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,520 |
1,152 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
342 |
249 |
$11K |
| 99442 |
|
417 |
261 |
$8K |
| 96156 |
|
212 |
137 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
65 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
509 |
369 |
$5K |
| 90670 |
|
1,407 |
985 |
$4K |
| 95923 |
|
127 |
78 |
$3K |
| 92551 |
|
3,094 |
2,056 |
$2K |
| 90474 |
|
185 |
130 |
$2K |
| 96127 |
|
845 |
610 |
$2K |
| 90621 |
|
217 |
103 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
15 |
14 |
$1K |
| 93923 |
|
40 |
16 |
$1K |
| 99173 |
|
3,988 |
2,640 |
$1K |
| 93922 |
|
182 |
61 |
$1K |
| 90723 |
|
1,055 |
730 |
$911.96 |
| 95921 |
|
20 |
16 |
$519.66 |
| 99401 |
|
17 |
14 |
$453.60 |
| 99490 |
Ccm add 20min |
196 |
189 |
$167.84 |
| 96160 |
|
421 |
295 |
$162.91 |
| 90715 |
|
205 |
108 |
$148.86 |
| 95943 |
|
107 |
62 |
$72.48 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
1,104 |
854 |
$68.78 |
| 90686 |
|
2,636 |
1,282 |
$54.63 |
| 87210 |
|
62 |
37 |
$23.50 |
| 3044F |
|
346 |
250 |
$20.19 |
| 3075F |
|
79 |
63 |
$0.02 |
| 3078F |
|
193 |
150 |
$0.02 |
| 3079F |
|
194 |
150 |
$0.01 |
| 3074F |
|
148 |
106 |
$0.01 |
| 3077F |
|
127 |
100 |
$0.01 |
| 96150 |
|
2,505 |
1,629 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
156 |
128 |
$0.00 |
| 90645 |
|
416 |
320 |
$0.00 |
| 90733 |
|
457 |
239 |
$0.00 |
| 90647 |
|
53 |
46 |
$0.00 |
| 90680 |
|
185 |
130 |
$0.00 |
| 90696 |
|
96 |
60 |
$0.00 |
| 3080F |
|
17 |
12 |
$0.00 |
| 90633 |
|
619 |
416 |
$0.00 |
| 90710 |
|
119 |
76 |
$0.00 |
| 90649 |
|
1,081 |
557 |
$0.00 |
| 99072 |
|
3,176 |
2,266 |
$0.00 |
| 99497 |
|
12 |
12 |
$0.00 |
| 90648 |
|
401 |
243 |
$0.00 |
| 90682 |
|
127 |
72 |
$0.00 |
| 90687 |
|
38 |
28 |
$0.00 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
183 |
29 |
$0.00 |
| 90461 |
|
96 |
79 |
$0.00 |
| 90662 |
|
14 |
14 |
$0.00 |