| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
55,774 |
30,006 |
$374K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,206 |
4,908 |
$330K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,098 |
2,660 |
$219K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
220 |
66 |
$51K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,491 |
3,872 |
$34K |
| 99442 |
|
391 |
311 |
$17K |
| 99407 |
|
857 |
648 |
$17K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
468 |
389 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,231 |
612 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,067 |
977 |
$14K |
| 99401 |
|
539 |
403 |
$12K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
60 |
58 |
$12K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
638 |
553 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
81 |
$8K |
| G2023 |
Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source |
452 |
342 |
$7K |
| 93000 |
|
513 |
452 |
$6K |
| 81002 |
|
3,163 |
2,669 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
639 |
583 |
$5K |
| 99441 |
|
183 |
141 |
$5K |
| 81025 |
|
726 |
574 |
$4K |
| 82947 |
|
935 |
735 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
245 |
203 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,293 |
1,140 |
$3K |
| 92552 |
|
877 |
764 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
107 |
99 |
$2K |
| 87428 |
|
33 |
25 |
$2K |
| 0011A |
|
44 |
40 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
25 |
24 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
89 |
73 |
$1K |
| 95923 |
|
12 |
12 |
$765.95 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
16 |
$751.49 |
| 99443 |
|
16 |
12 |
$730.29 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
59 |
44 |
$323.19 |
| 95117 |
|
29 |
12 |
$262.98 |
| 94010 |
|
16 |
13 |
$211.88 |
| 96127 |
|
43 |
40 |
$162.90 |
| 99173 |
|
943 |
824 |
$63.84 |
| 3080F |
|
95 |
73 |
$0.01 |
| 3077F |
|
166 |
132 |
$0.01 |
| 90686 |
|
129 |
111 |
$0.00 |
| 91301 |
|
13 |
12 |
$0.00 |
| 90649 |
|
17 |
17 |
$0.00 |
| 90658 |
|
17 |
17 |
$0.00 |
| 1159F |
|
20 |
18 |
$0.00 |
| 1160F |
|
16 |
14 |
$0.00 |