| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
82,113 |
67,300 |
$4.55M |
| 99199 |
Unlisted special service, procedure or report |
415,942 |
244,252 |
$2.43M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15,221 |
12,891 |
$1.21M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,855 |
11,107 |
$1.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
11,300 |
9,539 |
$882K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
9,105 |
7,705 |
$748K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
34,407 |
29,237 |
$621K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
19,588 |
16,629 |
$576K |
| 87428 |
|
6,705 |
5,598 |
$367K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
3,882 |
3,254 |
$352K |
| 99401 |
|
11,169 |
7,812 |
$277K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34,742 |
29,201 |
$274K |
| D0145 |
Oral evaluation for a patient under three years of age |
8,665 |
7,229 |
$261K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15,503 |
13,496 |
$190K |
| 96160 |
|
54,300 |
44,984 |
$174K |
| 99460 |
|
1,995 |
1,707 |
$136K |
| 85027 |
|
17,378 |
14,533 |
$118K |
| D1206 |
Topical application of fluoride varnish |
8,658 |
7,226 |
$115K |
| 99050 |
|
5,865 |
4,802 |
$99K |
| 87081 |
|
13,555 |
11,769 |
$83K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,756 |
2,185 |
$75K |
| 87275 |
|
5,928 |
5,362 |
$75K |
| 87276 |
|
5,913 |
5,349 |
$75K |
| 96127 |
|
16,988 |
14,147 |
$63K |
| 90474 |
|
3,220 |
2,746 |
$60K |
| 99462 |
|
1,703 |
1,194 |
$53K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
2,345 |
1,498 |
$52K |
| 80061 |
Lipid panel |
2,921 |
2,417 |
$41K |
| 0002A |
|
871 |
497 |
$33K |
| 0001A |
|
772 |
473 |
$29K |
| 87807 |
|
1,741 |
1,557 |
$22K |
| 0072A |
|
503 |
288 |
$20K |
| 0071A |
|
515 |
258 |
$17K |
| 81003 |
|
8,643 |
7,070 |
$13K |
| 90677 |
|
984 |
948 |
$13K |
| 83655 |
|
1,039 |
845 |
$12K |
| 92551 |
|
19,111 |
16,057 |
$11K |
| 92587 |
|
2,742 |
2,274 |
$10K |
| 90651 |
|
491 |
406 |
$8K |
| 82247 |
|
1,321 |
711 |
$7K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
714 |
647 |
$7K |
| 90686 |
|
9,397 |
7,967 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,524 |
2,112 |
$6K |
| 97803 |
|
82 |
75 |
$6K |
| 99173 |
|
25,003 |
20,927 |
$5K |
| 90734 |
|
217 |
177 |
$5K |
| 96161 |
|
1,749 |
1,427 |
$4K |
| 85007 |
|
1,005 |
856 |
$4K |
| 0004A |
|
67 |
43 |
$3K |
| 0074A |
|
30 |
17 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
145 |
110 |
$1K |
| 0082A |
|
18 |
14 |
$910.00 |
| 90697 |
|
1,000 |
903 |
$870.70 |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
24 |
23 |
$864.14 |
| 90688 |
|
98 |
95 |
$752.10 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
60 |
47 |
$694.26 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
101 |
61 |
$560.34 |
| 54150 |
|
17 |
13 |
$428.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
18 |
14 |
$364.99 |
| 90656 |
|
650 |
627 |
$258.21 |
| 36416 |
|
21,372 |
17,237 |
$210.97 |
| 90670 |
|
7,097 |
5,879 |
$184.75 |
| 90621 |
|
93 |
65 |
$169.39 |
| 90716 |
|
165 |
110 |
$137.00 |
| 91300 |
|
1,845 |
958 |
$129.08 |
| 90715 |
|
58 |
43 |
$86.50 |
| 94760 |
|
1,553 |
1,387 |
$82.80 |
| 90633 |
|
1,235 |
1,014 |
$69.86 |
| 90744 |
|
859 |
705 |
$23.90 |
| 81015 |
|
81 |
52 |
$14.96 |
| 90698 |
|
3,287 |
2,723 |
$1.16 |
| 90619 |
|
182 |
155 |
$0.17 |
| 90380 |
|
42 |
29 |
$0.05 |
| 91308 |
|
51 |
35 |
$0.03 |
| 90680 |
|
3,279 |
2,798 |
$0.00 |
| 91307 |
|
1,080 |
515 |
$0.00 |
| 90696 |
|
120 |
101 |
$0.00 |
| 94761 |
|
104 |
81 |
$0.00 |
| 90647 |
|
38 |
14 |
$0.00 |
| 90685 |
|
624 |
537 |
$0.00 |
| 90707 |
|
157 |
107 |
$0.00 |
| 90700 |
|
38 |
14 |
$0.00 |
| 90710 |
|
61 |
52 |
$0.00 |