| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26,304 |
22,928 |
$1.63M |
| 99199 |
Unlisted special service, procedure or report |
242,294 |
118,626 |
$1.30M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,770 |
6,613 |
$698K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
15,616 |
13,356 |
$286K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
14,001 |
10,865 |
$245K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
3,086 |
2,467 |
$142K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,104 |
2,763 |
$112K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
953 |
854 |
$90K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
948 |
869 |
$86K |
| 99051 |
|
2,688 |
2,368 |
$64K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,824 |
4,404 |
$42K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
579 |
504 |
$33K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
297 |
272 |
$25K |
| 0072A |
|
354 |
250 |
$18K |
| 0071A |
|
441 |
254 |
$17K |
| 92551 |
|
7,922 |
6,931 |
$14K |
| 0001A |
|
264 |
206 |
$13K |
| 0002A |
|
263 |
200 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
119 |
104 |
$12K |
| 90480 |
|
278 |
237 |
$8K |
| 90686 |
|
6,416 |
5,369 |
$8K |
| 0004A |
|
76 |
64 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
146 |
134 |
$4K |
| 99442 |
|
67 |
50 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
249 |
230 |
$3K |
| 96127 |
|
817 |
682 |
$3K |
| 87631 |
|
44 |
36 |
$3K |
| 90656 |
|
359 |
323 |
$3K |
| 0154A |
|
81 |
36 |
$2K |
| 91320 |
|
59 |
49 |
$2K |
| 0124A |
|
42 |
33 |
$2K |
| 99173 |
|
3,113 |
2,709 |
$2K |
| 0074A |
|
70 |
31 |
$2K |
| 0111A |
|
41 |
19 |
$2K |
| 91322 |
|
26 |
22 |
$2K |
| 0112A |
|
43 |
16 |
$1K |
| 91321 |
|
41 |
35 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
421 |
336 |
$967.28 |
| D0145 |
Oral evaluation for a patient under three years of age |
25 |
25 |
$832.18 |
| 87081 |
|
99 |
95 |
$682.56 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
15 |
$657.86 |
| 91319 |
|
47 |
37 |
$634.48 |
| 99441 |
|
15 |
12 |
$498.02 |
| 91300 |
|
724 |
538 |
$440.08 |
| 99050 |
|
15 |
13 |
$344.24 |
| 94760 |
|
2,222 |
2,012 |
$291.32 |
| D1206 |
Topical application of fluoride varnish |
13 |
13 |
$201.36 |
| 91307 |
|
977 |
548 |
$160.30 |
| 99177 |
|
237 |
222 |
$28.71 |
| 91315 |
|
81 |
36 |
$21.84 |
| 99000 |
|
1,006 |
766 |
$3.96 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90647 |
|
38 |
36 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |
| 90670 |
|
82 |
80 |
$0.00 |
| 91311 |
|
192 |
95 |
$0.00 |
| 90658 |
|
16 |
16 |
$0.00 |
| 91312 |
|
42 |
33 |
$0.00 |