| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,187 |
10,773 |
$751K |
| 99199 |
Unlisted special service, procedure or report |
86,080 |
61,091 |
$356K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,066 |
7,212 |
$298K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,439 |
2,175 |
$214K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,166 |
1,057 |
$113K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,206 |
1,010 |
$108K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
473 |
431 |
$43K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
818 |
715 |
$31K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
266 |
$29K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,169 |
2,875 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
424 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
738 |
648 |
$13K |
| 99051 |
|
259 |
237 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
178 |
165 |
$5K |
| 90480 |
|
127 |
112 |
$5K |
| 92551 |
|
2,661 |
2,421 |
$4K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
28 |
28 |
$4K |
| 90686 |
|
3,385 |
2,989 |
$4K |
| 96127 |
|
767 |
723 |
$3K |
| D0145 |
Oral evaluation for a patient under three years of age |
81 |
73 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
209 |
$3K |
| 99173 |
|
2,588 |
2,353 |
$3K |
| 0072A |
|
48 |
39 |
$2K |
| 90651 |
|
71 |
63 |
$2K |
| 90837 |
Psychotherapy, 53 minutes with patient |
16 |
12 |
$2K |
| D1206 |
Topical application of fluoride varnish |
81 |
73 |
$1K |
| 0071A |
|
30 |
20 |
$1K |
| 0124A |
|
16 |
13 |
$781.98 |
| 90674 |
|
610 |
538 |
$524.94 |
| 90734 |
|
27 |
25 |
$421.02 |
| 90670 |
|
463 |
399 |
$228.32 |
| 96161 |
|
62 |
58 |
$228.14 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
69 |
$201.03 |
| 90656 |
|
556 |
530 |
$161.52 |
| 90698 |
|
329 |
289 |
$108.07 |
| 1003F |
|
42 |
42 |
$0.00 |
| 91300 |
|
39 |
27 |
$0.00 |
| G9920 |
Screening performed and negative |
61 |
60 |
$0.00 |
| 90633 |
|
29 |
24 |
$0.00 |
| 91311 |
|
12 |
12 |
$0.00 |
| 90647 |
|
55 |
50 |
$0.00 |
| 99000 |
|
47 |
44 |
$0.00 |
| 90723 |
|
57 |
50 |
$0.00 |
| 90677 |
|
82 |
80 |
$0.00 |
| 90680 |
|
80 |
63 |
$0.00 |
| 90744 |
|
32 |
26 |
$0.00 |