| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,489 |
3,637 |
$411K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,372 |
1,913 |
$185K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,459 |
2,064 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,604 |
1,360 |
$138K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,926 |
2,492 |
$117K |
| 99199 |
Unlisted special service, procedure or report |
31,253 |
29,919 |
$114K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,583 |
3,892 |
$82K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
838 |
737 |
$78K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
775 |
672 |
$77K |
| 80061 |
Lipid panel |
1,833 |
1,535 |
$25K |
| 90697 |
|
753 |
632 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
527 |
446 |
$20K |
| 90474 |
|
939 |
798 |
$17K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
396 |
336 |
$16K |
| 99383 |
|
187 |
143 |
$15K |
| 96127 |
|
3,876 |
2,022 |
$13K |
| 99384 |
|
149 |
103 |
$12K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
129 |
109 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
744 |
384 |
$10K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,622 |
1,045 |
$10K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
139 |
93 |
$8K |
| 92551 |
|
3,032 |
2,537 |
$7K |
| 99460 |
|
138 |
93 |
$7K |
| 85018 |
|
4,122 |
3,424 |
$7K |
| 96161 |
|
1,908 |
1,470 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
164 |
143 |
$5K |
| 83655 |
|
377 |
320 |
$5K |
| 90671 |
|
63 |
48 |
$4K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
73 |
54 |
$4K |
| 99382 |
|
53 |
34 |
$3K |
| 99173 |
|
3,107 |
2,601 |
$3K |
| 90670 |
|
1,213 |
997 |
$3K |
| D1206 |
Topical application of fluoride varnish |
206 |
157 |
$3K |
| 90651 |
|
274 |
229 |
$2K |
| 99462 |
|
65 |
35 |
$2K |
| 90680 |
|
968 |
819 |
$1K |
| G9919 |
Screening performed and positive and provision of recommendations |
80 |
71 |
$1K |
| 99381 |
|
22 |
15 |
$1K |
| 87807 |
|
75 |
67 |
$946.07 |
| 90686 |
|
1,087 |
895 |
$639.41 |
| 90710 |
|
86 |
84 |
$550.32 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
83 |
76 |
$536.94 |
| 90677 |
|
407 |
371 |
$521.62 |
| 90656 |
|
71 |
68 |
$391.02 |
| 90734 |
|
105 |
91 |
$388.44 |
| 87430 |
|
48 |
43 |
$241.47 |
| 90698 |
|
484 |
401 |
$213.57 |
| 90633 |
|
322 |
273 |
$111.55 |
| 99188 |
|
35 |
27 |
$75.50 |
| 36416 |
|
3,709 |
3,084 |
$61.18 |
| 90715 |
|
64 |
55 |
$44.55 |
| 90648 |
|
45 |
39 |
$25.08 |
| 90716 |
|
112 |
94 |
$0.00 |
| 90744 |
|
206 |
175 |
$0.00 |
| 99000 |
|
23 |
15 |
$0.00 |
| 90688 |
|
82 |
71 |
$0.00 |
| 90707 |
|
123 |
95 |
$0.00 |
| 90700 |
|
39 |
28 |
$0.00 |
| 90685 |
|
36 |
28 |
$0.00 |