| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
105,265 |
56,784 |
$572K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,499 |
2,670 |
$214K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,245 |
1,683 |
$199K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
3,078 |
2,038 |
$55K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
545 |
384 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
273 |
169 |
$19K |
| 99051 |
|
767 |
628 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,422 |
1,227 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,266 |
586 |
$16K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
947 |
720 |
$6K |
| 92551 |
|
2,180 |
1,515 |
$5K |
| 86328 |
|
115 |
100 |
$4K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
103 |
91 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
28 |
$4K |
| 96127 |
|
638 |
415 |
$1K |
| 0071A |
|
16 |
14 |
$910.00 |
| 97802 |
|
72 |
45 |
$893.56 |
| 99173 |
|
2,330 |
1,625 |
$771.60 |
| 90461 |
|
416 |
284 |
$569.80 |
| 90686 |
|
1,325 |
905 |
$473.42 |
| 90734 |
|
87 |
37 |
$252.52 |
| 99401 |
|
20 |
14 |
$229.80 |
| 99423 |
|
17 |
13 |
$207.45 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
13 |
$132.34 |
| 99406 |
|
19 |
19 |
$56.68 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
96 |
73 |
$0.00 |
| G0445 |
High intensity behavioral counseling to prevent sexually transmitted infection; face-to-face, individual, includes: education, skills training and guidance on how to change sexual behavior; performed semi-annually, 30 minutes |
19 |
19 |
$0.00 |
| 94664 |
|
12 |
12 |
$0.00 |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
309 |
140 |
$0.00 |
| 90651 |
|
95 |
41 |
$0.00 |
| 91307 |
|
23 |
15 |
$0.00 |