| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80,054 |
65,247 |
$5.28M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
20,869 |
17,729 |
$2.06M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,652 |
8,818 |
$889K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,982 |
8,315 |
$877K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
8,337 |
7,680 |
$821K |
| 99199 |
Unlisted special service, procedure or report |
191,865 |
188,958 |
$582K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
5,339 |
4,779 |
$556K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
15,795 |
14,382 |
$507K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
24,140 |
21,798 |
$477K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
9,626 |
7,477 |
$352K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
22,155 |
10,413 |
$306K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,343 |
6,420 |
$294K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
20,985 |
18,506 |
$290K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,538 |
4,225 |
$162K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14,380 |
13,225 |
$143K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
3,598 |
3,324 |
$141K |
| 90474 |
|
4,572 |
4,202 |
$93K |
| D1206 |
Topical application of fluoride varnish |
4,535 |
4,225 |
$72K |
| 96127 |
|
7,125 |
6,521 |
$31K |
| 87807 |
|
2,297 |
1,956 |
$31K |
| 99215 |
Prolong outpt/office vis |
176 |
159 |
$24K |
| 96160 |
|
6,566 |
5,834 |
$23K |
| 90734 |
|
970 |
878 |
$23K |
| 83655 |
|
1,510 |
1,407 |
$22K |
| 92551 |
|
18,601 |
16,986 |
$20K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
198 |
194 |
$18K |
| 99173 |
|
20,040 |
18,337 |
$16K |
| 90651 |
|
575 |
539 |
$16K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
1,256 |
1,128 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
74 |
69 |
$11K |
| 90620 |
|
262 |
221 |
$11K |
| 81003 |
|
3,432 |
2,984 |
$8K |
| 90473 |
|
369 |
327 |
$7K |
| 85018 |
|
4,062 |
3,699 |
$7K |
| 99070 |
|
1,362 |
1,224 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
343 |
302 |
$7K |
| 90688 |
|
5,082 |
4,540 |
$7K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
44 |
43 |
$5K |
| 90715 |
|
564 |
497 |
$3K |
| 90619 |
|
623 |
512 |
$2K |
| 82947 |
|
322 |
293 |
$2K |
| 90672 |
|
501 |
458 |
$786.20 |
| 90716 |
|
1,222 |
1,213 |
$738.67 |
| 80061 |
Lipid panel |
36 |
36 |
$595.08 |
| 81025 |
|
43 |
42 |
$319.80 |
| 90707 |
|
1,206 |
1,196 |
$70.73 |
| 90713 |
|
604 |
559 |
$32.15 |
| 90698 |
|
3,418 |
3,261 |
$1.33 |
| 90697 |
|
1,521 |
1,265 |
$1.03 |
| 90677 |
|
642 |
625 |
$0.74 |
| 90680 |
|
4,311 |
3,964 |
$0.20 |
| 90661 |
|
33 |
29 |
$0.09 |
| 90660 |
|
18 |
13 |
$0.02 |
| 90674 |
|
523 |
467 |
$0.02 |
| 90700 |
|
2,251 |
2,069 |
$0.01 |
| 90710 |
|
298 |
251 |
$0.01 |
| 90671 |
|
266 |
226 |
$0.00 |
| 90670 |
|
6,692 |
6,124 |
$0.00 |
| 90687 |
|
434 |
432 |
$0.00 |
| 90648 |
|
136 |
133 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |
| 90744 |
|
1,661 |
1,597 |
$0.00 |
| 90696 |
|
47 |
47 |
$0.00 |