| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29,171 |
23,926 |
$2.36M |
| 99199 |
Unlisted special service, procedure or report |
192,445 |
90,537 |
$950K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,930 |
2,782 |
$240K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,605 |
2,466 |
$217K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,349 |
2,107 |
$185K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,092 |
1,812 |
$178K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
4,856 |
4,201 |
$161K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12,014 |
5,407 |
$154K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,763 |
3,458 |
$126K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
6,461 |
5,885 |
$124K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
956 |
813 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,265 |
1,145 |
$70K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,885 |
1,769 |
$65K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,311 |
4,004 |
$39K |
| 99070 |
|
5,295 |
4,641 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,887 |
1,769 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,128 |
1,933 |
$27K |
| 87807 |
|
1,465 |
1,324 |
$19K |
| 99406 |
|
1,873 |
1,620 |
$18K |
| 92551 |
|
7,483 |
6,788 |
$16K |
| 81002 |
|
4,946 |
4,249 |
$10K |
| 96127 |
|
2,442 |
2,135 |
$9K |
| 90651 |
|
665 |
592 |
$8K |
| 99173 |
|
8,051 |
7,301 |
$7K |
| 99051 |
|
319 |
310 |
$7K |
| 96161 |
|
1,792 |
1,553 |
$6K |
| 90734 |
|
562 |
506 |
$4K |
| 83655 |
|
456 |
414 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
238 |
186 |
$3K |
| 87428 |
|
62 |
56 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
32 |
26 |
$2K |
| 85018 |
|
884 |
815 |
$2K |
| 92567 |
|
184 |
161 |
$1K |
| 94664 |
|
111 |
103 |
$1K |
| 90474 |
|
50 |
49 |
$1K |
| 90686 |
|
1,631 |
1,526 |
$824.66 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
52 |
47 |
$592.39 |
| 90715 |
|
207 |
187 |
$326.48 |
| 92568 |
|
32 |
25 |
$286.61 |
| 90674 |
|
106 |
87 |
$219.16 |
| 90633 |
|
465 |
444 |
$199.38 |
| 90670 |
|
1,735 |
1,569 |
$0.00 |
| 90710 |
|
474 |
442 |
$0.00 |
| 90681 |
|
169 |
157 |
$0.00 |
| 90685 |
|
59 |
59 |
$0.00 |
| 90697 |
|
418 |
382 |
$0.00 |
| 90723 |
|
585 |
547 |
$0.00 |
| 90647 |
|
673 |
626 |
$0.00 |
| 90677 |
|
309 |
301 |
$0.00 |
| 90696 |
|
54 |
53 |
$0.00 |
| 90688 |
|
352 |
344 |
$0.00 |