| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,812 |
10,076 |
$777K |
| 99199 |
Unlisted special service, procedure or report |
58,350 |
34,017 |
$331K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,491 |
2,011 |
$212K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,021 |
1,577 |
$171K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,024 |
1,475 |
$147K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,141 |
942 |
$103K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,436 |
4,398 |
$96K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,745 |
2,170 |
$82K |
| 87637 |
Infectious agent detection by nucleic acid; SARS-CoV-2, influenza, and RSV |
462 |
366 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,116 |
4,045 |
$36K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,024 |
839 |
$35K |
| 87428 |
|
498 |
392 |
$26K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
204 |
179 |
$21K |
| D1206 |
Topical application of fluoride varnish |
1,008 |
827 |
$15K |
| 90473 |
|
431 |
375 |
$8K |
| 90474 |
|
408 |
291 |
$7K |
| 92551 |
|
3,422 |
2,707 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
405 |
315 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
89 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
33 |
25 |
$3K |
| 99173 |
|
2,189 |
1,724 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
86 |
64 |
$2K |
| 0071A |
|
19 |
19 |
$1K |
| 96161 |
|
319 |
263 |
$1K |
| 85018 |
|
493 |
409 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
82 |
27 |
$943.05 |
| 0072A |
|
13 |
13 |
$848.14 |
| 83655 |
|
124 |
94 |
$643.99 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$592.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
26 |
$572.60 |
| 88738 |
|
127 |
94 |
$557.59 |
| 96160 |
|
149 |
131 |
$526.43 |
| 90672 |
|
508 |
439 |
$513.98 |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
12 |
12 |
$419.43 |
| 90686 |
|
1,037 |
862 |
$264.00 |
| 2014F |
|
13 |
12 |
$200.00 |
| 96127 |
|
41 |
38 |
$144.50 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
13 |
12 |
$111.98 |
| 90698 |
|
94 |
54 |
$108.08 |
| 90656 |
|
106 |
95 |
$64.58 |
| 90660 |
|
76 |
71 |
$51.02 |
| 90671 |
|
263 |
236 |
$0.20 |
| 90670 |
|
711 |
503 |
$0.01 |
| 90685 |
|
119 |
98 |
$0.00 |
| 90633 |
|
131 |
104 |
$0.00 |
| 90734 |
|
15 |
15 |
$0.00 |
| 90647 |
|
332 |
289 |
$0.00 |
| 90680 |
|
390 |
275 |
$0.00 |
| 90744 |
|
15 |
12 |
$0.00 |
| 90723 |
|
266 |
232 |
$0.00 |
| 90688 |
|
92 |
89 |
$0.00 |
| 91307 |
|
46 |
40 |
$0.00 |