| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
44,819 |
22,103 |
$302K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,761 |
2,129 |
$245K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
942 |
701 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
684 |
568 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
888 |
688 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
637 |
490 |
$54K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,492 |
1,154 |
$47K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,376 |
1,791 |
$40K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
816 |
595 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
211 |
157 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
864 |
618 |
$19K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,989 |
1,583 |
$15K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
203 |
155 |
$7K |
| 96127 |
|
1,391 |
1,050 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
159 |
127 |
$5K |
| 87807 |
|
436 |
316 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
116 |
102 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
233 |
197 |
$3K |
| D1206 |
Topical application of fluoride varnish |
113 |
91 |
$2K |
| 92552 |
|
1,861 |
1,377 |
$921.98 |
| 90474 |
|
33 |
28 |
$621.29 |
| 83718 |
|
70 |
48 |
$543.73 |
| 85018 |
|
157 |
129 |
$330.99 |
| 82465 |
|
70 |
48 |
$283.10 |
| 90670 |
|
320 |
252 |
$241.75 |
| 90698 |
|
209 |
173 |
$224.93 |
| 90686 |
|
392 |
276 |
$203.65 |
| 99173 |
|
1,970 |
1,531 |
$100.39 |
| 90677 |
|
98 |
87 |
$0.00 |
| 90744 |
|
50 |
40 |
$0.00 |
| 90696 |
|
16 |
14 |
$0.00 |
| 36416 |
|
75 |
47 |
$0.00 |
| 99000 |
|
46 |
36 |
$0.00 |
| 90651 |
|
21 |
12 |
$0.00 |
| 90680 |
|
35 |
30 |
$0.00 |
| 90633 |
|
104 |
85 |
$0.00 |
| 90710 |
|
16 |
14 |
$0.00 |