| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26,272 |
22,216 |
$2.27M |
| 99199 |
Unlisted special service, procedure or report |
235,215 |
121,065 |
$1.51M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,951 |
12,677 |
$859K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,241 |
7,106 |
$687K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,912 |
6,034 |
$592K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,909 |
5,857 |
$553K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
11,952 |
10,367 |
$397K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19,789 |
17,193 |
$370K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,817 |
2,401 |
$261K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,877 |
2,329 |
$132K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
15,398 |
13,268 |
$130K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,698 |
3,933 |
$114K |
| 99215 |
Prolong outpt/office vis |
717 |
580 |
$85K |
| D0145 |
Oral evaluation for a patient under three years of age |
2,279 |
2,002 |
$67K |
| 96127 |
|
15,327 |
12,956 |
$60K |
| 90474 |
|
2,394 |
2,112 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,682 |
2,293 |
$34K |
| D1206 |
Topical application of fluoride varnish |
2,188 |
1,945 |
$29K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
552 |
511 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
491 |
417 |
$17K |
| 99381 |
|
139 |
105 |
$13K |
| 87807 |
|
967 |
843 |
$13K |
| 99408 |
|
590 |
484 |
$12K |
| 83655 |
|
1,008 |
887 |
$11K |
| 96161 |
|
3,144 |
2,632 |
$11K |
| 90651 |
|
976 |
838 |
$9K |
| 85018 |
|
4,998 |
4,341 |
$7K |
| 83718 |
|
683 |
601 |
$6K |
| 92552 |
|
13,678 |
11,850 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
260 |
195 |
$4K |
| 90686 |
|
5,643 |
5,004 |
$4K |
| 82465 |
|
698 |
616 |
$3K |
| 90734 |
|
177 |
164 |
$3K |
| 99173 |
|
14,942 |
12,965 |
$2K |
| 0071A |
|
32 |
21 |
$1K |
| 90619 |
|
463 |
387 |
$1K |
| 0001A |
|
14 |
12 |
$889.12 |
| 90698 |
|
4,821 |
4,150 |
$656.65 |
| 99460 |
|
13 |
12 |
$604.68 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$490.80 |
| 81003 |
|
214 |
178 |
$439.81 |
| 90633 |
|
2,265 |
1,951 |
$300.20 |
| 90677 |
|
515 |
482 |
$288.19 |
| 94664 |
|
25 |
25 |
$278.25 |
| 90670 |
|
5,092 |
4,412 |
$193.91 |
| 96380 |
|
21 |
19 |
$189.22 |
| 90621 |
|
87 |
79 |
$161.30 |
| 90707 |
|
101 |
97 |
$149.94 |
| 90715 |
|
190 |
174 |
$143.79 |
| 99406 |
|
24 |
20 |
$136.10 |
| 90716 |
|
100 |
97 |
$132.40 |
| 90744 |
|
1,940 |
1,647 |
$23.66 |
| 94760 |
|
214 |
194 |
$16.56 |
| 94761 |
|
13 |
13 |
$15.80 |
| 90680 |
|
2,476 |
2,174 |
$0.00 |
| 91307 |
|
110 |
69 |
$0.00 |
| 90656 |
|
253 |
227 |
$0.00 |
| 90696 |
|
213 |
185 |
$0.00 |
| 36416 |
|
23 |
23 |
$0.00 |
| 99000 |
|
66 |
60 |
$0.00 |
| 90697 |
|
31 |
31 |
$0.00 |
| 90723 |
|
17 |
15 |
$0.00 |
| 90710 |
|
856 |
712 |
$0.00 |
| 90685 |
|
357 |
307 |
$0.00 |
| 90648 |
|
73 |
60 |
$0.00 |
| 90700 |
|
63 |
53 |
$0.00 |
| 91300 |
|
22 |
19 |
$0.00 |