| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
259,001 |
205,798 |
$1.36M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,034 |
4,883 |
$695K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,739 |
2,373 |
$203K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,635 |
1,424 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,667 |
1,394 |
$136K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,388 |
5,360 |
$85K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,527 |
2,953 |
$84K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,943 |
1,662 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
410 |
$45K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
302 |
224 |
$37K |
| 96127 |
|
4,988 |
3,924 |
$31K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,653 |
2,211 |
$27K |
| 99443 |
|
222 |
183 |
$27K |
| D0145 |
Oral evaluation for a patient under three years of age |
909 |
800 |
$27K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
583 |
513 |
$26K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
2,295 |
1,972 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
227 |
198 |
$21K |
| 99215 |
Prolong outpt/office vis |
93 |
76 |
$14K |
| D1206 |
Topical application of fluoride varnish |
909 |
800 |
$12K |
| 81025 |
|
1,529 |
1,187 |
$11K |
| 36415 |
Collection of venous blood by venipuncture |
3,172 |
2,439 |
$9K |
| 85018 |
|
3,444 |
2,813 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
34 |
$8K |
| 90474 |
|
561 |
508 |
$8K |
| T1002 |
Rn services, up to 15 minutes |
101 |
81 |
$6K |
| 96161 |
|
1,846 |
1,538 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
298 |
142 |
$5K |
| 90686 |
|
1,690 |
1,470 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
242 |
204 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
244 |
233 |
$4K |
| 96160 |
|
711 |
563 |
$3K |
| 90734 |
|
696 |
543 |
$2K |
| 92551 |
|
1,718 |
1,403 |
$2K |
| 11981 |
|
12 |
12 |
$1K |
| 99173 |
|
1,594 |
1,305 |
$1K |
| 87210 |
|
224 |
193 |
$984.84 |
| 82120 |
|
224 |
193 |
$814.96 |
| 82947 |
|
174 |
158 |
$794.08 |
| 81003 |
|
251 |
169 |
$550.91 |
| 90651 |
|
223 |
191 |
$420.48 |
| 90715 |
|
237 |
168 |
$134.42 |
| 90656 |
|
90 |
76 |
$83.02 |
| 94760 |
|
2,027 |
1,669 |
$20.21 |
| 90670 |
|
1,274 |
1,077 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 90700 |
|
30 |
25 |
$0.00 |
| 90685 |
|
106 |
106 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90713 |
|
13 |
12 |
$0.00 |
| 90710 |
|
16 |
13 |
$0.00 |
| 99000 |
|
6,429 |
5,053 |
$0.00 |
| 90723 |
|
950 |
825 |
$0.00 |
| 90647 |
|
895 |
774 |
$0.00 |
| 90680 |
|
557 |
506 |
$0.00 |
| 90677 |
|
160 |
157 |
$0.00 |
| 90696 |
|
15 |
13 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |