| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
165,012 |
98,637 |
$966K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,050 |
9,002 |
$844K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,906 |
10,352 |
$680K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,465 |
365 |
$420K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,287 |
4,379 |
$408K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
4,161 |
3,405 |
$344K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,950 |
3,478 |
$308K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,340 |
5,364 |
$218K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,663 |
9,813 |
$208K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,527 |
2,202 |
$198K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
7,348 |
3,610 |
$98K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,122 |
1,937 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,830 |
4,431 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,591 |
5,743 |
$59K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
1,486 |
1,334 |
$59K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
280 |
267 |
$58K |
| 96127 |
|
8,820 |
7,157 |
$53K |
| 83718 |
|
4,461 |
3,569 |
$38K |
| D1206 |
Topical application of fluoride varnish |
2,120 |
1,936 |
$30K |
| 90474 |
|
1,164 |
1,044 |
$23K |
| 82465 |
|
4,464 |
3,572 |
$20K |
| 90651 |
|
787 |
710 |
$12K |
| 90734 |
|
1,165 |
938 |
$11K |
| 92567 |
|
852 |
774 |
$11K |
| 92551 |
|
10,699 |
8,843 |
$11K |
| 96160 |
|
5,212 |
3,956 |
$11K |
| 95117 |
|
1,194 |
606 |
$10K |
| 83655 |
|
695 |
616 |
$10K |
| 99173 |
|
11,204 |
9,284 |
$5K |
| 90686 |
|
3,886 |
3,202 |
$4K |
| 90621 |
|
422 |
383 |
$4K |
| 99051 |
|
91 |
91 |
$2K |
| 85018 |
|
1,456 |
1,266 |
$2K |
| 90715 |
|
382 |
312 |
$2K |
| 94010 |
|
53 |
45 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
60 |
60 |
$1K |
| 81002 |
|
43 |
42 |
$124.93 |
| 82947 |
|
14 |
14 |
$58.08 |
| 90633 |
|
1,034 |
896 |
$35.20 |
| 90723 |
|
1,448 |
1,280 |
$0.00 |
| 90680 |
|
1,174 |
1,055 |
$0.00 |
| 90647 |
|
2,122 |
1,825 |
$0.00 |
| 99172 |
|
226 |
196 |
$0.00 |
| 90677 |
|
85 |
85 |
$0.00 |
| 90696 |
|
143 |
126 |
$0.00 |
| 90716 |
|
32 |
27 |
$0.00 |
| 90700 |
|
42 |
39 |
$0.00 |
| 90658 |
|
35 |
31 |
$0.00 |
| 90670 |
|
2,074 |
1,775 |
$0.00 |
| 90710 |
|
129 |
120 |
$0.00 |
| 90685 |
|
419 |
393 |
$0.00 |
| 90707 |
|
49 |
41 |
$0.00 |