| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41,723 |
36,860 |
$2.44M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,254 |
14,636 |
$1.45M |
| 99199 |
Unlisted special service, procedure or report |
218,214 |
128,731 |
$1.21M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,946 |
5,430 |
$496K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,355 |
4,643 |
$436K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,914 |
4,567 |
$428K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,093 |
15,819 |
$343K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
2,522 |
2,233 |
$341K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,930 |
8,197 |
$331K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,420 |
2,220 |
$229K |
| 90837 |
Psychotherapy, 53 minutes with patient |
2,686 |
2,154 |
$216K |
| 99051 |
|
3,746 |
3,462 |
$97K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
9,689 |
8,744 |
$87K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,470 |
2,273 |
$84K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,561 |
4,143 |
$62K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,940 |
1,903 |
$54K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,280 |
1,146 |
$51K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
759 |
604 |
$37K |
| D1206 |
Topical application of fluoride varnish |
2,467 |
2,271 |
$37K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
332 |
308 |
$31K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
748 |
641 |
$27K |
| 90834 |
Psychotherapy, 45 minutes with patient |
493 |
461 |
$26K |
| 96127 |
|
3,221 |
2,913 |
$23K |
| 90651 |
|
628 |
589 |
$18K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
275 |
260 |
$17K |
| 99460 |
|
126 |
117 |
$10K |
| 87428 |
|
222 |
152 |
$10K |
| 96161 |
|
2,292 |
2,078 |
$8K |
| 90734 |
|
453 |
398 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
342 |
286 |
$7K |
| 90686 |
|
5,536 |
5,165 |
$6K |
| 0071A |
|
90 |
79 |
$5K |
| 0072A |
|
81 |
69 |
$5K |
| 96160 |
|
1,227 |
1,088 |
$4K |
| 2014F |
|
3,322 |
2,919 |
$4K |
| 83655 |
|
205 |
191 |
$3K |
| 90474 |
|
78 |
77 |
$2K |
| 90473 |
|
70 |
67 |
$1K |
| 99401 |
|
37 |
32 |
$1K |
| 99173 |
|
9,933 |
9,182 |
$953.21 |
| 85018 |
|
552 |
527 |
$680.00 |
| 92551 |
|
5,925 |
5,483 |
$464.60 |
| 90715 |
|
109 |
90 |
$375.21 |
| 90688 |
|
16 |
15 |
$228.90 |
| 90672 |
|
84 |
81 |
$172.56 |
| 81002 |
|
38 |
28 |
$113.40 |
| 90633 |
|
225 |
209 |
$112.38 |
| 91307 |
|
180 |
147 |
$47.60 |
| 36416 |
|
71 |
52 |
$44.24 |
| 90656 |
|
430 |
416 |
$21.49 |
| 90647 |
|
1,047 |
962 |
$0.00 |
| 90723 |
|
990 |
922 |
$0.00 |
| 90696 |
|
33 |
25 |
$0.00 |
| 90677 |
|
196 |
193 |
$0.00 |
| 90620 |
|
33 |
30 |
$0.00 |
| 90670 |
|
2,510 |
2,304 |
$0.00 |
| 90685 |
|
298 |
295 |
$0.00 |
| 90681 |
|
154 |
144 |
$0.00 |
| 90710 |
|
78 |
64 |
$0.00 |