| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,132 |
4,577 |
$511K |
| 99199 |
Unlisted special service, procedure or report |
57,143 |
36,896 |
$328K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,900 |
3,517 |
$242K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
2,406 |
940 |
$117K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,653 |
1,062 |
$116K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,328 |
1,199 |
$114K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,137 |
671 |
$62K |
| 99401 |
|
4,742 |
1,296 |
$40K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,433 |
1,913 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,174 |
407 |
$35K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,990 |
1,042 |
$31K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,289 |
461 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,665 |
969 |
$13K |
| 96160 |
|
5,723 |
2,343 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,472 |
894 |
$7K |
| 92551 |
|
6,148 |
2,343 |
$7K |
| D1206 |
Topical application of fluoride varnish |
1,294 |
464 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
181 |
171 |
$5K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
710 |
155 |
$4K |
| 81003 |
|
3,520 |
1,368 |
$3K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
61 |
17 |
$3K |
| 99173 |
|
6,512 |
2,479 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
40 |
14 |
$1K |
| 0072A |
|
127 |
34 |
$1K |
| 96127 |
|
303 |
295 |
$1K |
| 85018 |
|
1,426 |
495 |
$1K |
| 96161 |
|
1,168 |
339 |
$1K |
| 0071A |
|
136 |
34 |
$1K |
| 90474 |
|
145 |
53 |
$965.63 |
| 90651 |
|
464 |
150 |
$552.26 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
41 |
12 |
$267.18 |
| 90619 |
|
84 |
29 |
$152.25 |
| 82465 |
|
70 |
17 |
$64.32 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$5.40 |
| 3008F |
|
759 |
690 |
$0.00 |
| 99000 |
|
431 |
414 |
$0.00 |
| 90686 |
|
1,656 |
473 |
$0.00 |
| 91307 |
|
309 |
64 |
$0.00 |
| 90688 |
|
125 |
114 |
$0.00 |
| 94760 |
|
41 |
38 |
$0.00 |
| 90680 |
|
193 |
67 |
$0.00 |
| 90656 |
|
36 |
34 |
$0.00 |
| 90744 |
|
49 |
12 |
$0.00 |
| 81000 |
|
14 |
14 |
$0.00 |
| 90734 |
|
51 |
26 |
$0.00 |
| 90700 |
|
70 |
15 |
$0.00 |
| 90621 |
|
1,050 |
374 |
$0.00 |
| 90670 |
|
825 |
261 |
$0.00 |
| 90715 |
|
32 |
12 |
$0.00 |
| 90648 |
|
51 |
27 |
$0.00 |
| 90633 |
|
91 |
38 |
$0.00 |