| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,880 |
5,351 |
$435K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,167 |
2,538 |
$298K |
| 99199 |
Unlisted special service, procedure or report |
43,119 |
25,520 |
$248K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,557 |
1,326 |
$143K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
976 |
813 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,505 |
3,716 |
$83K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
908 |
699 |
$83K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,401 |
1,968 |
$74K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
521 |
414 |
$66K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,504 |
1,279 |
$48K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
285 |
213 |
$30K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,189 |
2,675 |
$24K |
| D1206 |
Topical application of fluoride varnish |
1,513 |
1,280 |
$21K |
| 99408 |
|
576 |
446 |
$11K |
| T1015 |
Clinic visit/encounter, all-inclusive |
52 |
46 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
280 |
265 |
$7K |
| 92551 |
|
3,098 |
2,601 |
$7K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
82 |
60 |
$4K |
| 96127 |
|
1,042 |
796 |
$4K |
| 96160 |
|
1,124 |
882 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
58 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
194 |
$3K |
| 0072A |
|
47 |
34 |
$3K |
| 0071A |
|
45 |
39 |
$2K |
| 96161 |
|
648 |
446 |
$2K |
| 0002A |
|
34 |
31 |
$2K |
| 0001A |
|
62 |
29 |
$2K |
| 90686 |
|
1,613 |
1,289 |
$2K |
| 99173 |
|
1,309 |
1,076 |
$2K |
| 85018 |
|
754 |
594 |
$1K |
| 99051 |
|
59 |
50 |
$1K |
| 90474 |
|
51 |
37 |
$981.60 |
| 90671 |
|
12 |
12 |
$923.80 |
| 90651 |
|
88 |
50 |
$820.38 |
| 90734 |
|
21 |
14 |
$730.37 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
23 |
16 |
$459.21 |
| 36415 |
Collection of venous blood by venipuncture |
147 |
140 |
$375.50 |
| 90670 |
|
404 |
330 |
$239.74 |
| 90723 |
|
16 |
12 |
$182.21 |
| 90633 |
|
91 |
75 |
$153.53 |
| 99177 |
|
3,434 |
2,912 |
$143.77 |
| 90648 |
|
85 |
65 |
$23.40 |
| 36416 |
|
641 |
488 |
$9.48 |
| 99000 |
|
631 |
467 |
$0.00 |
| 91307 |
|
80 |
61 |
$0.00 |
| 90716 |
|
20 |
14 |
$0.00 |
| 90681 |
|
66 |
49 |
$0.00 |
| 91300 |
|
105 |
66 |
$0.00 |
| 99072 |
|
153 |
135 |
$0.00 |