| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,863 |
18,697 |
$2.02M |
| 99199 |
Unlisted special service, procedure or report |
134,626 |
69,230 |
$1.11M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,014 |
11,421 |
$875K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
8,595 |
6,901 |
$412K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,254 |
3,558 |
$379K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,204 |
2,739 |
$290K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
3,324 |
2,669 |
$284K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,352 |
8,098 |
$255K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
10,657 |
9,024 |
$198K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
5,737 |
4,899 |
$186K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
14,138 |
12,088 |
$186K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,717 |
1,396 |
$157K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,683 |
6,719 |
$72K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,033 |
1,694 |
$60K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,241 |
1,146 |
$44K |
| 96127 |
|
10,331 |
8,006 |
$41K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
684 |
560 |
$25K |
| D1206 |
Topical application of fluoride varnish |
1,666 |
1,444 |
$24K |
| 83718 |
|
2,203 |
1,817 |
$19K |
| 99051 |
|
727 |
687 |
$18K |
| 99408 |
|
513 |
403 |
$14K |
| 82465 |
|
2,220 |
1,834 |
$10K |
| 90474 |
|
470 |
401 |
$9K |
| 99215 |
Prolong outpt/office vis |
84 |
76 |
$9K |
| 90651 |
|
422 |
367 |
$8K |
| 87807 |
|
498 |
424 |
$7K |
| 85018 |
|
3,770 |
3,152 |
$7K |
| 92552 |
|
8,032 |
6,811 |
$4K |
| 96161 |
|
1,031 |
824 |
$3K |
| 0001A |
|
52 |
30 |
$2K |
| 90686 |
|
2,322 |
1,975 |
$2K |
| 90734 |
|
49 |
39 |
$1K |
| 99173 |
|
8,764 |
7,429 |
$1K |
| 99406 |
|
82 |
73 |
$747.06 |
| 90621 |
|
15 |
13 |
$659.59 |
| 99050 |
|
22 |
16 |
$584.15 |
| 90619 |
|
155 |
126 |
$463.29 |
| 96160 |
|
130 |
112 |
$396.44 |
| 81003 |
|
133 |
117 |
$329.63 |
| 90715 |
|
27 |
25 |
$329.24 |
| 90633 |
|
465 |
397 |
$35.20 |
| 83655 |
|
26 |
24 |
$14.93 |
| 94760 |
|
1,892 |
1,750 |
$6.27 |
| 90698 |
|
1,709 |
1,416 |
$0.00 |
| 90744 |
|
214 |
171 |
$0.00 |
| 90688 |
|
146 |
145 |
$0.00 |
| 90680 |
|
501 |
427 |
$0.00 |
| 90677 |
|
81 |
76 |
$0.00 |
| 99000 |
|
236 |
235 |
$0.00 |
| 90697 |
|
27 |
24 |
$0.00 |
| 90656 |
|
81 |
74 |
$0.00 |
| 94761 |
|
17 |
14 |
$0.00 |
| 90685 |
|
117 |
96 |
$0.00 |
| 90670 |
|
1,848 |
1,564 |
$0.00 |
| 91300 |
|
111 |
77 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
13 |
13 |
$0.00 |