| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
152,479 |
76,768 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,176 |
8,422 |
$870K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,247 |
3,355 |
$236K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,556 |
2,245 |
$221K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,505 |
2,166 |
$217K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,824 |
4,206 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,952 |
1,684 |
$161K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,493 |
6,494 |
$140K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,039 |
865 |
$95K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
6,241 |
5,296 |
$53K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,504 |
1,264 |
$48K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,965 |
1,637 |
$47K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
736 |
589 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,307 |
1,992 |
$29K |
| 99460 |
|
327 |
248 |
$23K |
| 96127 |
|
5,153 |
4,286 |
$22K |
| D1206 |
Topical application of fluoride varnish |
1,486 |
1,251 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
631 |
419 |
$20K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
250 |
196 |
$14K |
| 83718 |
|
1,208 |
999 |
$10K |
| 99408 |
|
395 |
339 |
$9K |
| 90474 |
|
466 |
426 |
$9K |
| 82465 |
|
1,196 |
999 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
130 |
120 |
$4K |
| 96161 |
|
1,240 |
1,061 |
$4K |
| 99381 |
|
42 |
37 |
$4K |
| 87807 |
|
307 |
279 |
$4K |
| 85018 |
|
1,873 |
1,581 |
$3K |
| 92552 |
|
6,043 |
5,239 |
$2K |
| 94060 |
|
36 |
31 |
$1K |
| 90651 |
|
393 |
344 |
$1K |
| 0001A |
|
37 |
25 |
$1K |
| 99173 |
|
6,585 |
5,697 |
$817.12 |
| 99462 |
|
25 |
13 |
$667.62 |
| 90686 |
|
968 |
863 |
$596.17 |
| 90734 |
|
96 |
84 |
$540.38 |
| 90619 |
|
227 |
185 |
$304.57 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
17 |
17 |
$248.71 |
| 99406 |
|
12 |
12 |
$180.36 |
| 94664 |
|
15 |
14 |
$144.69 |
| 94760 |
|
1,078 |
937 |
$99.03 |
| 90715 |
|
85 |
67 |
$94.85 |
| 36416 |
|
2,011 |
1,664 |
$0.06 |
| 90670 |
|
1,756 |
1,549 |
$0.00 |
| 90633 |
|
642 |
565 |
$0.00 |
| 90707 |
|
253 |
233 |
$0.00 |
| 90710 |
|
63 |
57 |
$0.00 |
| 91300 |
|
65 |
45 |
$0.00 |
| 90621 |
|
32 |
26 |
$0.00 |
| 99000 |
|
1,178 |
988 |
$0.00 |
| 90744 |
|
512 |
457 |
$0.00 |
| 90716 |
|
294 |
267 |
$0.00 |
| 90698 |
|
1,425 |
1,235 |
$0.00 |
| 99489 |
Ccm add 20min |
75 |
71 |
$0.00 |
| 90680 |
|
547 |
492 |
$0.00 |
| 90677 |
|
51 |
48 |
$0.00 |
| 90696 |
|
71 |
59 |
$0.00 |
| 90688 |
|
241 |
204 |
$0.00 |
| 90656 |
|
69 |
67 |
$0.00 |
| 94761 |
|
17 |
15 |
$0.00 |