| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
761,643 |
316,153 |
$5.78M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59,974 |
53,758 |
$3.81M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
21,066 |
18,602 |
$1.87M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17,644 |
15,274 |
$1.58M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
30,602 |
27,038 |
$1.56M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
16,185 |
14,476 |
$1.51M |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
7,966 |
7,172 |
$759K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
9,648 |
3,763 |
$565K |
| 99460 |
|
6,542 |
5,834 |
$473K |
| 99469 |
Subsequent inpatient neonatal critical care, per day, 28 days or younger |
1,437 |
298 |
$467K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
5,286 |
4,613 |
$448K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20,900 |
18,240 |
$385K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
6,063 |
5,461 |
$357K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,673 |
2,375 |
$275K |
| D0145 |
Oral evaluation for a patient under three years of age |
7,960 |
7,096 |
$273K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
4,209 |
2,210 |
$238K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
6,256 |
5,528 |
$217K |
| 99479 |
Subsequent intensive care, per day, very low birth weight infant |
1,814 |
428 |
$190K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
22,760 |
20,245 |
$155K |
| 90837 |
Psychotherapy, 53 minutes with patient |
1,821 |
920 |
$146K |
| D1206 |
Topical application of fluoride varnish |
7,959 |
7,097 |
$120K |
| 99245 |
|
647 |
521 |
$115K |
| 99051 |
|
4,075 |
3,327 |
$103K |
| 97802 |
|
1,245 |
1,052 |
$100K |
| 99222 |
Initial hospital care, per day, moderate complexity |
896 |
811 |
$99K |
| 97803 |
|
2,566 |
2,003 |
$92K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
4,316 |
3,412 |
$85K |
| 99480 |
Subsequent intensive care, per day, low birth weight infant |
774 |
165 |
$77K |
| 99462 |
|
2,036 |
1,580 |
$65K |
| 99307 |
|
1,417 |
994 |
$52K |
| 96127 |
|
8,731 |
7,763 |
$46K |
| 96161 |
|
9,973 |
8,767 |
$35K |
| 99472 |
Subsequent inpatient pediatric critical care, per day, 2-5 years |
103 |
16 |
$33K |
| 99442 |
|
934 |
629 |
$32K |
| 99443 |
|
540 |
373 |
$25K |
| 99217 |
|
422 |
387 |
$24K |
| 83655 |
|
1,528 |
1,343 |
$21K |
| 87428 |
|
347 |
336 |
$21K |
| 0072A |
|
436 |
348 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,203 |
577 |
$16K |
| 90651 |
|
2,530 |
2,282 |
$16K |
| 99219 |
|
157 |
144 |
$15K |
| 99468 |
|
20 |
18 |
$14K |
| 0071A |
|
307 |
259 |
$13K |
| 54150 |
|
78 |
73 |
$13K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
156 |
95 |
$12K |
| 90686 |
|
18,137 |
16,254 |
$11K |
| 0002A |
|
232 |
176 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
741 |
694 |
$10K |
| 36415 |
Collection of venous blood by venipuncture |
10,503 |
9,383 |
$10K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
69 |
69 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
247 |
213 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
62 |
53 |
$10K |
| 90480 |
|
453 |
427 |
$10K |
| 96160 |
|
2,723 |
2,424 |
$10K |
| 0082A |
|
178 |
114 |
$9K |
| 99291 |
Critical care, evaluation and management of the critically ill patient, first 30-74 minutes |
61 |
36 |
$9K |
| 90474 |
|
392 |
387 |
$8K |
| 99215 |
Prolong outpt/office vis |
68 |
59 |
$8K |
| 80061 |
Lipid panel |
510 |
388 |
$7K |
| 0001A |
|
121 |
101 |
$6K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
583 |
454 |
$6K |
| 90791 |
Psychiatric diagnostic evaluation |
57 |
45 |
$6K |
| 0081A |
|
110 |
70 |
$6K |
| 90834 |
Psychotherapy, 45 minutes with patient |
91 |
55 |
$5K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
91 |
84 |
$5K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
310 |
284 |
$5K |
| 90734 |
|
477 |
424 |
$5K |
| 0173A |
|
93 |
64 |
$5K |
| 81025 |
|
789 |
550 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
25 |
25 |
$4K |
| 0052A |
|
81 |
59 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
113 |
54 |
$4K |
| 92552 |
|
10,503 |
9,550 |
$3K |
| 99441 |
|
146 |
91 |
$3K |
| 99221 |
|
24 |
24 |
$2K |
| 99417 |
Prolong home eval add 15m |
18 |
14 |
$2K |
| 90620 |
|
350 |
312 |
$2K |
| 99173 |
|
19,861 |
17,988 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
18 |
14 |
$2K |
| 0154A |
|
20 |
15 |
$1K |
| 99383 |
|
12 |
12 |
$1K |
| 99401 |
|
39 |
36 |
$1K |
| 96381 |
|
132 |
130 |
$978.86 |
| 0051A |
|
22 |
14 |
$965.00 |
| 90677 |
|
2,492 |
2,435 |
$782.43 |
| 90715 |
|
480 |
415 |
$719.38 |
| 91320 |
|
13 |
13 |
$565.51 |
| 90656 |
|
1,505 |
1,465 |
$454.33 |
| 90697 |
|
4,623 |
3,991 |
$432.08 |
| 87210 |
|
121 |
78 |
$326.80 |
| 81002 |
|
106 |
98 |
$293.31 |
| 90633 |
|
4,090 |
3,598 |
$250.10 |
| 90688 |
|
643 |
604 |
$179.85 |
| 87807 |
|
12 |
12 |
$169.98 |
| 92551 |
|
2,086 |
1,954 |
$155.03 |
| 82962 |
|
69 |
51 |
$99.44 |
| 88720 |
|
14 |
12 |
$62.81 |
| 90696 |
|
544 |
497 |
$0.57 |
| 90670 |
|
12,199 |
10,858 |
$0.00 |
| 90685 |
|
1,255 |
1,225 |
$0.00 |
| 1160F |
|
1,211 |
1,179 |
$0.00 |
| 90700 |
|
329 |
294 |
$0.00 |
| 91308 |
|
429 |
292 |
$0.00 |
| 3078F |
|
469 |
466 |
$0.00 |
| 90710 |
|
799 |
682 |
$0.00 |
| 90707 |
|
389 |
346 |
$0.00 |
| 91300 |
|
386 |
281 |
$0.00 |
| 90723 |
|
6,869 |
6,187 |
$0.00 |
| 90680 |
|
7,834 |
6,968 |
$0.00 |
| 90647 |
|
5,694 |
5,300 |
$0.00 |
| 90716 |
|
374 |
332 |
$0.00 |
| 3074F |
|
546 |
543 |
$0.00 |
| 3044F |
|
105 |
105 |
$0.00 |
| 90619 |
|
763 |
651 |
$0.00 |
| 91307 |
|
492 |
376 |
$0.00 |
| 99000 |
|
58 |
56 |
$0.00 |
| 91305 |
|
178 |
122 |
$0.00 |
| 91315 |
|
20 |
15 |
$0.00 |
| 3079F |
|
40 |
40 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 3048F |
|
12 |
12 |
$0.00 |