| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
364,533 |
288,247 |
$1.82M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,348 |
1,985 |
$276K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,847 |
1,587 |
$139K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,512 |
7,569 |
$118K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,736 |
2,305 |
$63K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
759 |
677 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
696 |
523 |
$55K |
| 0001A |
|
1,057 |
780 |
$47K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,319 |
1,179 |
$39K |
| 0002A |
|
791 |
593 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
412 |
390 |
$37K |
| 97803 |
|
827 |
670 |
$35K |
| 99401 |
|
1,103 |
954 |
$34K |
| 92587 |
|
1,016 |
944 |
$30K |
| T1002 |
Rn services, up to 15 minutes |
612 |
487 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,300 |
1,173 |
$14K |
| D0145 |
Oral evaluation for a patient under three years of age |
401 |
344 |
$14K |
| 0071A |
|
256 |
156 |
$13K |
| 0072A |
|
232 |
133 |
$11K |
| 81025 |
|
1,225 |
1,099 |
$10K |
| 0031A |
|
234 |
200 |
$10K |
| 0004A |
|
188 |
122 |
$9K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
314 |
286 |
$9K |
| 90651 |
|
354 |
321 |
$8K |
| 90734 |
|
419 |
380 |
$8K |
| D1206 |
Topical application of fluoride varnish |
401 |
344 |
$6K |
| 0012A |
|
109 |
95 |
$6K |
| 97802 |
|
98 |
66 |
$5K |
| 90686 |
|
2,926 |
2,659 |
$5K |
| 87400 |
|
219 |
187 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
29 |
$4K |
| 90688 |
|
1,144 |
1,111 |
$4K |
| 92551 |
|
545 |
456 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
40 |
$4K |
| 0011A |
|
87 |
74 |
$3K |
| 90480 |
|
55 |
41 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
94 |
56 |
$3K |
| 90715 |
|
529 |
452 |
$3K |
| 0064A |
|
57 |
32 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
75 |
67 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
136 |
128 |
$2K |
| 96127 |
|
393 |
354 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
672 |
607 |
$2K |
| 99173 |
|
1,372 |
1,265 |
$1K |
| 96160 |
|
378 |
339 |
$1K |
| 90619 |
|
551 |
464 |
$1K |
| 87210 |
|
324 |
258 |
$1K |
| 82120 |
|
322 |
258 |
$1K |
| 96161 |
|
286 |
197 |
$885.83 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
298 |
270 |
$685.89 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
12 |
12 |
$600.00 |
| 83986 |
|
159 |
135 |
$575.58 |
| 90656 |
|
373 |
368 |
$479.00 |
| 94760 |
|
3,521 |
3,049 |
$476.41 |
| 85018 |
|
48 |
38 |
$99.06 |
| 90633 |
|
30 |
30 |
$66.20 |
| 36416 |
|
104 |
85 |
$3.16 |
| 91300 |
|
2,165 |
1,455 |
$0.03 |
| 87149 |
|
43 |
42 |
$0.00 |
| 90671 |
|
31 |
29 |
$0.00 |
| 90670 |
|
250 |
162 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
13 |
12 |
$0.00 |
| 90710 |
|
18 |
12 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |
| 99000 |
|
2,335 |
2,056 |
$0.00 |
| LU400 |
|
755 |
739 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
63 |
53 |
$0.00 |
| 90723 |
|
81 |
26 |
$0.00 |
| 91301 |
|
281 |
238 |
$0.00 |
| 91306 |
|
57 |
32 |
$0.00 |
| 90647 |
|
77 |
65 |
$0.00 |
| 90677 |
|
43 |
42 |
$0.00 |
| 87081 |
|
29 |
28 |
$0.00 |
| 86592 |
|
63 |
53 |
$0.00 |
| 91307 |
|
523 |
279 |
$0.00 |
| 91305 |
|
19 |
13 |
$0.00 |
| 91303 |
|
231 |
199 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
13 |
12 |
$0.00 |