| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
132,616 |
66,292 |
$973K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,693 |
4,777 |
$482K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,953 |
4,051 |
$309K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,431 |
2,958 |
$307K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,481 |
2,144 |
$228K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,645 |
1,371 |
$157K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,199 |
6,072 |
$133K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
4,137 |
3,517 |
$129K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,271 |
1,044 |
$108K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
1,240 |
1,039 |
$60K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,790 |
4,978 |
$52K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,114 |
909 |
$44K |
| 99215 |
Prolong outpt/office vis |
255 |
236 |
$32K |
| 99383 |
|
257 |
230 |
$27K |
| 96127 |
|
6,658 |
5,556 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
778 |
657 |
$20K |
| D0145 |
Oral evaluation for a patient under three years of age |
328 |
255 |
$10K |
| 99408 |
|
333 |
239 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
59 |
54 |
$5K |
| 90651 |
|
696 |
607 |
$5K |
| D1206 |
Topical application of fluoride varnish |
311 |
244 |
$4K |
| 0072A |
|
96 |
63 |
$4K |
| 0071A |
|
91 |
63 |
$4K |
| 85018 |
|
2,047 |
1,722 |
$4K |
| 99382 |
|
32 |
25 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
263 |
232 |
$3K |
| 90474 |
|
159 |
142 |
$3K |
| 0001A |
|
53 |
47 |
$3K |
| 92552 |
|
7,667 |
6,502 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
64 |
61 |
$2K |
| 96161 |
|
546 |
435 |
$2K |
| 0002A |
|
27 |
18 |
$1K |
| 90734 |
|
103 |
91 |
$963.07 |
| 83718 |
|
126 |
96 |
$909.00 |
| 99173 |
|
7,997 |
6,791 |
$868.01 |
| 90619 |
|
413 |
344 |
$779.55 |
| 82465 |
|
127 |
97 |
$482.40 |
| 90686 |
|
1,341 |
1,136 |
$390.96 |
| 90715 |
|
270 |
232 |
$248.22 |
| 90621 |
|
12 |
12 |
$161.30 |
| 90698 |
|
881 |
738 |
$110.23 |
| 90633 |
|
802 |
697 |
$96.50 |
| 83655 |
|
32 |
25 |
$95.95 |
| 94760 |
|
268 |
230 |
$19.58 |
| 36416 |
|
2,093 |
1,724 |
$3.25 |
| 91300 |
|
115 |
92 |
$0.00 |
| 90670 |
|
1,187 |
1,005 |
$0.00 |
| 90710 |
|
230 |
202 |
$0.00 |
| 90707 |
|
35 |
27 |
$0.00 |
| 90700 |
|
17 |
17 |
$0.00 |
| 90656 |
|
150 |
144 |
$0.00 |
| 90680 |
|
163 |
146 |
$0.00 |
| 90696 |
|
190 |
163 |
$0.00 |
| 90744 |
|
229 |
189 |
$0.00 |
| 90677 |
|
69 |
64 |
$0.00 |
| 91307 |
|
190 |
120 |
$0.00 |
| COVID |
Covid-19 convalescent plasma |
14 |
14 |
$0.00 |
| 90716 |
|
41 |
31 |
$0.00 |
| 99000 |
|
38 |
37 |
$0.00 |