| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27,638 |
24,241 |
$2.60M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32,328 |
28,141 |
$2.07M |
| 99199 |
Unlisted special service, procedure or report |
228,414 |
128,663 |
$1.06M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
13,252 |
11,648 |
$609K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,305 |
5,270 |
$571K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,770 |
5,120 |
$554K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,431 |
3,995 |
$424K |
| 99050 |
|
13,548 |
11,892 |
$340K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,598 |
2,322 |
$268K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
5,116 |
4,466 |
$186K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
8,319 |
7,555 |
$113K |
| 87428 |
|
2,434 |
1,861 |
$87K |
| 99401 |
|
3,811 |
3,340 |
$84K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,539 |
3,361 |
$68K |
| 96127 |
|
11,507 |
10,510 |
$53K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,243 |
3,896 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,056 |
1,046 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
987 |
978 |
$27K |
| 90651 |
|
1,139 |
1,012 |
$19K |
| D0145 |
Oral evaluation for a patient under three years of age |
517 |
420 |
$17K |
| 90461 |
|
6,869 |
6,085 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
538 |
435 |
$11K |
| D1206 |
Topical application of fluoride varnish |
512 |
420 |
$7K |
| 90734 |
|
515 |
453 |
$6K |
| 0071A |
|
109 |
86 |
$5K |
| 0072A |
|
99 |
88 |
$5K |
| 83655 |
|
319 |
318 |
$5K |
| 90480 |
|
126 |
83 |
$4K |
| 96161 |
|
2,131 |
1,911 |
$4K |
| 0001A |
|
104 |
58 |
$4K |
| 0002A |
|
82 |
48 |
$3K |
| 0124A |
|
49 |
33 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
183 |
173 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
854 |
803 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
889 |
806 |
$2K |
| 90620 |
|
103 |
83 |
$1K |
| 99243 |
|
15 |
15 |
$1K |
| 99442 |
|
66 |
26 |
$1K |
| 99173 |
|
6,901 |
6,275 |
$1K |
| 0154A |
|
41 |
18 |
$1K |
| 92551 |
|
2,660 |
2,518 |
$958.30 |
| 99441 |
|
82 |
32 |
$957.18 |
| 0111A |
|
14 |
12 |
$915.86 |
| 81002 |
|
277 |
267 |
$807.18 |
| 92552 |
|
1,940 |
1,657 |
$758.91 |
| 90474 |
|
27 |
27 |
$432.00 |
| 90715 |
|
212 |
184 |
$406.68 |
| 90633 |
|
996 |
894 |
$313.43 |
| 96160 |
|
81 |
76 |
$228.86 |
| 90619 |
|
176 |
161 |
$173.79 |
| 85013 |
|
165 |
159 |
$160.62 |
| 90723 |
|
1,500 |
1,323 |
$140.00 |
| 90686 |
|
5,413 |
4,829 |
$54.68 |
| 90670 |
|
2,396 |
2,120 |
$0.00 |
| 90681 |
|
226 |
184 |
$0.00 |
| 90685 |
|
179 |
174 |
$0.00 |
| 99072 |
|
679 |
660 |
$0.00 |
| 90648 |
|
2,253 |
2,012 |
$0.00 |
| 90710 |
|
267 |
241 |
$0.00 |
| 91311 |
|
115 |
78 |
$0.00 |
| 90658 |
|
379 |
368 |
$0.00 |
| 91300 |
|
267 |
176 |
$0.00 |
| J1055 |
|
78 |
78 |
$0.00 |
| 90700 |
|
58 |
53 |
$0.00 |
| 90621 |
|
59 |
57 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 91312 |
|
40 |
33 |
$0.00 |
| 90677 |
|
247 |
237 |
$0.00 |
| G0136 |
Administration of a standardized, evidence-based assessment of physical activity and nutrition, 5-15 minutes, not more often than every 6 months |
312 |
300 |
$0.00 |
| 90697 |
|
145 |
129 |
$0.00 |
| 91307 |
|
364 |
290 |
$0.00 |
| 90696 |
|
152 |
141 |
$0.00 |
| 91319 |
|
16 |
12 |
$0.00 |
| 91315 |
|
40 |
18 |
$0.00 |
| 90680 |
|
37 |
37 |
$0.00 |
| 91305 |
|
14 |
12 |
$0.00 |
| 90656 |
|
44 |
43 |
$0.00 |
| 90716 |
|
40 |
40 |
$0.00 |
| 91318 |
|
27 |
16 |
$0.00 |
| 94760 |
|
12 |
12 |
$0.00 |