| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
106,321 |
54,183 |
$787K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,392 |
6,304 |
$640K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,115 |
2,506 |
$266K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,929 |
2,530 |
$248K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,657 |
2,359 |
$233K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,285 |
2,721 |
$195K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,874 |
4,284 |
$171K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,580 |
1,361 |
$143K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,293 |
6,345 |
$134K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,181 |
5,247 |
$55K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,100 |
929 |
$35K |
| 99460 |
|
446 |
403 |
$31K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
440 |
394 |
$25K |
| 96127 |
|
5,738 |
4,737 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,014 |
842 |
$23K |
| 90474 |
|
992 |
912 |
$20K |
| D1206 |
Topical application of fluoride varnish |
1,195 |
972 |
$16K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
338 |
255 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
992 |
893 |
$12K |
| 90651 |
|
814 |
714 |
$9K |
| 99408 |
|
414 |
315 |
$9K |
| 83718 |
|
953 |
832 |
$8K |
| 94664 |
|
681 |
624 |
$7K |
| 96161 |
|
1,480 |
1,303 |
$5K |
| 82465 |
|
956 |
832 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
125 |
85 |
$4K |
| 90734 |
|
435 |
392 |
$4K |
| 99383 |
|
35 |
24 |
$3K |
| 85018 |
|
2,278 |
1,918 |
$3K |
| 99406 |
|
202 |
186 |
$2K |
| 0001A |
|
48 |
28 |
$2K |
| 87807 |
|
174 |
138 |
$2K |
| 92552 |
|
6,152 |
5,339 |
$2K |
| 99382 |
|
13 |
12 |
$2K |
| 99462 |
|
51 |
26 |
$1K |
| 0071A |
|
22 |
12 |
$794.08 |
| 0072A |
|
19 |
13 |
$792.51 |
| 99173 |
|
6,674 |
5,795 |
$755.35 |
| 90715 |
|
256 |
216 |
$609.14 |
| 90686 |
|
1,272 |
1,116 |
$483.19 |
| 90670 |
|
2,106 |
1,882 |
$456.64 |
| 90621 |
|
40 |
39 |
$322.60 |
| 90698 |
|
1,726 |
1,545 |
$216.14 |
| 90680 |
|
1,001 |
918 |
$187.67 |
| 90619 |
|
125 |
106 |
$152.43 |
| 90716 |
|
748 |
683 |
$145.98 |
| 90633 |
|
970 |
860 |
$130.10 |
| 94760 |
|
866 |
755 |
$99.90 |
| 91300 |
|
111 |
66 |
$65.00 |
| 81003 |
|
26 |
25 |
$58.17 |
| 90688 |
|
81 |
72 |
$47.40 |
| 90744 |
|
1,056 |
947 |
$26.88 |
| 36416 |
|
3,196 |
2,712 |
$6.53 |
| 90707 |
|
707 |
652 |
$0.00 |
| 90700 |
|
72 |
67 |
$0.00 |
| 90685 |
|
36 |
26 |
$0.00 |
| 99188 |
|
16 |
14 |
$0.00 |
| 99000 |
|
447 |
381 |
$0.00 |
| 90696 |
|
148 |
137 |
$0.00 |
| 94761 |
|
142 |
136 |
$0.00 |
| S8096 |
Portable peak flow meter |
270 |
249 |
$0.00 |
| 90677 |
|
61 |
54 |
$0.00 |
| 91307 |
|
74 |
46 |
$0.00 |