| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
462,614 |
254,242 |
$2.81M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,984 |
38,666 |
$2.70M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21,203 |
18,632 |
$1.92M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
32,026 |
28,809 |
$1.22M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
8,753 |
7,993 |
$801K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
6,824 |
6,107 |
$626K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,597 |
4,130 |
$398K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,829 |
2,473 |
$286K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18,178 |
15,659 |
$155K |
| 99401 |
|
3,988 |
3,110 |
$136K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,135 |
4,609 |
$97K |
| 96127 |
|
18,102 |
13,820 |
$63K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,686 |
1,591 |
$57K |
| 92551 |
|
24,287 |
21,633 |
$52K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,062 |
1,429 |
$41K |
| 90651 |
|
683 |
625 |
$28K |
| 90686 |
|
16,326 |
14,340 |
$27K |
| 0071A |
|
591 |
413 |
$26K |
| D1206 |
Topical application of fluoride varnish |
1,697 |
1,602 |
$25K |
| 99173 |
|
16,908 |
14,337 |
$25K |
| 0072A |
|
452 |
341 |
$22K |
| 0002A |
|
439 |
301 |
$19K |
| 0001A |
|
657 |
294 |
$18K |
| 99050 |
|
726 |
646 |
$18K |
| 99051 |
|
483 |
407 |
$11K |
| 96160 |
|
3,232 |
2,621 |
$9K |
| 90474 |
|
434 |
396 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
596 |
534 |
$8K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
2,452 |
2,194 |
$6K |
| 90734 |
|
154 |
135 |
$5K |
| 96161 |
|
841 |
641 |
$2K |
| 90480 |
|
60 |
50 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
61 |
44 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
213 |
179 |
$2K |
| 87081 |
|
277 |
254 |
$2K |
| 0004A |
|
60 |
41 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
63 |
61 |
$2K |
| 0124A |
|
90 |
20 |
$1K |
| 0154A |
|
62 |
17 |
$1K |
| 90619 |
|
100 |
84 |
$1K |
| 99177 |
|
9,917 |
9,561 |
$850.86 |
| 0074A |
|
29 |
19 |
$845.00 |
| 83655 |
|
52 |
50 |
$793.42 |
| 36415 |
Collection of venous blood by venipuncture |
316 |
271 |
$727.20 |
| 90473 |
|
45 |
35 |
$638.33 |
| 97802 |
|
16 |
12 |
$528.02 |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
12 |
12 |
$437.16 |
| 83718 |
|
39 |
38 |
$393.90 |
| 90661 |
|
992 |
832 |
$359.15 |
| 90698 |
|
793 |
709 |
$329.63 |
| 90633 |
|
285 |
263 |
$305.39 |
| 82465 |
|
39 |
38 |
$204.04 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
20 |
13 |
$183.24 |
| 90620 |
|
14 |
12 |
$175.10 |
| 90715 |
|
37 |
30 |
$148.97 |
| 94760 |
|
982 |
885 |
$101.83 |
| 90656 |
|
380 |
326 |
$83.06 |
| 36416 |
|
3,172 |
2,855 |
$44.24 |
| 85018 |
|
15 |
13 |
$37.96 |
| 81002 |
|
12 |
12 |
$37.80 |
| 82962 |
|
13 |
12 |
$36.36 |
| 90688 |
|
52 |
49 |
$16.35 |
| 91312 |
|
63 |
21 |
$5.85 |
| 90744 |
|
167 |
149 |
$1.29 |
| 90680 |
|
604 |
540 |
$0.00 |
| 99000 |
|
6,740 |
5,446 |
$0.00 |
| 91307 |
|
1,529 |
974 |
$0.00 |
| 90677 |
|
256 |
233 |
$0.00 |
| 90660 |
|
43 |
35 |
$0.00 |
| 91315 |
|
45 |
17 |
$0.00 |
| 90670 |
|
2,609 |
2,375 |
$0.00 |
| 91300 |
|
1,695 |
993 |
$0.00 |
| 90685 |
|
581 |
571 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
35 |
31 |
$0.00 |
| 91321 |
|
17 |
15 |
$0.00 |