| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
71,035 |
45,185 |
$389K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,477 |
1,800 |
$221K |
| 99215 |
Prolong outpt/office vis |
974 |
703 |
$120K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,855 |
1,274 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
867 |
639 |
$79K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
611 |
448 |
$60K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,627 |
1,141 |
$28K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
771 |
521 |
$28K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
632 |
484 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
153 |
$21K |
| 99058 |
|
1,151 |
827 |
$15K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
348 |
236 |
$14K |
| 92551 |
|
2,166 |
1,630 |
$13K |
| 83718 |
|
1,274 |
937 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
696 |
539 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
690 |
528 |
$8K |
| 96127 |
|
1,885 |
1,409 |
$6K |
| 85018 |
|
2,402 |
1,794 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
809 |
550 |
$5K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
51 |
33 |
$5K |
| 90651 |
|
119 |
85 |
$4K |
| 99173 |
|
2,262 |
1,697 |
$2K |
| 80061 |
Lipid panel |
112 |
90 |
$1K |
| 82465 |
|
306 |
215 |
$860.26 |
| 87807 |
|
21 |
12 |
$222.60 |
| 90734 |
|
47 |
32 |
$152.44 |
| 90658 |
|
308 |
202 |
$19.10 |
| 90716 |
|
39 |
25 |
$0.00 |
| 99000 |
|
14 |
12 |
$0.00 |
| 90707 |
|
19 |
12 |
$0.00 |
| 90670 |
|
21 |
13 |
$0.00 |