| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
531,644 |
224,098 |
$3.08M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37,929 |
32,812 |
$3.03M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
44,455 |
38,966 |
$2.40M |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30,898 |
27,124 |
$534K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,273 |
5,604 |
$492K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,828 |
4,806 |
$421K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12,952 |
11,374 |
$377K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,760 |
4,212 |
$370K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
7,105 |
6,076 |
$287K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
4,432 |
3,921 |
$240K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,582 |
2,288 |
$226K |
| 99401 |
|
7,492 |
6,068 |
$220K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
5,909 |
5,160 |
$144K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,213 |
5,101 |
$56K |
| 96127 |
|
15,721 |
12,099 |
$54K |
| 99173 |
|
21,955 |
19,062 |
$52K |
| 99051 |
|
1,961 |
1,743 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,886 |
1,348 |
$36K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,571 |
1,411 |
$19K |
| 90474 |
|
857 |
745 |
$15K |
| 90686 |
|
10,083 |
8,864 |
$13K |
| 0002A |
|
237 |
180 |
$12K |
| 96161 |
|
3,968 |
3,346 |
$12K |
| 0072A |
|
187 |
176 |
$12K |
| 90832 |
Psychotherapy, 30 minutes with patient |
328 |
201 |
$11K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
195 |
182 |
$11K |
| 90651 |
|
422 |
379 |
$11K |
| D0145 |
Oral evaluation for a patient under three years of age |
366 |
324 |
$10K |
| 99460 |
|
163 |
158 |
$9K |
| 0071A |
|
164 |
137 |
$8K |
| 87634 |
|
360 |
251 |
$8K |
| 92551 |
|
2,872 |
2,586 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
738 |
616 |
$5K |
| 0001A |
|
97 |
80 |
$5K |
| D1206 |
Topical application of fluoride varnish |
365 |
324 |
$5K |
| 96160 |
|
1,453 |
1,303 |
$4K |
| 90734 |
|
290 |
259 |
$3K |
| 90620 |
|
95 |
89 |
$3K |
| 99242 |
|
39 |
36 |
$3K |
| 0054A |
|
36 |
31 |
$2K |
| 0082A |
|
27 |
27 |
$1K |
| 90834 |
Psychotherapy, 45 minutes with patient |
28 |
16 |
$1K |
| 99462 |
|
47 |
42 |
$1K |
| 90656 |
|
1,084 |
1,010 |
$887.56 |
| 0052A |
|
12 |
12 |
$780.00 |
| 96380 |
|
37 |
34 |
$582.76 |
| 90677 |
|
604 |
519 |
$268.63 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
25 |
14 |
$247.95 |
| 90715 |
|
45 |
38 |
$170.86 |
| 90647 |
|
912 |
791 |
$84.36 |
| 90633 |
|
97 |
85 |
$33.10 |
| 83655 |
|
13 |
12 |
$29.86 |
| 99072 |
|
3,539 |
3,019 |
$26.86 |
| 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) |
291 |
233 |
$22.28 |
| 94760 |
|
31 |
28 |
$18.63 |
| 36416 |
|
1,172 |
1,005 |
$3.16 |
| 91307 |
|
474 |
386 |
$2.40 |
| 90723 |
|
1,083 |
945 |
$0.00 |
| 90680 |
|
905 |
792 |
$0.00 |
| 99000 |
|
1,995 |
1,700 |
$0.00 |
| 91305 |
|
93 |
74 |
$0.00 |
| 90696 |
|
26 |
25 |
$0.00 |
| 90716 |
|
39 |
37 |
$0.00 |
| 90378 |
|
23 |
12 |
$0.00 |
| 90670 |
|
2,136 |
1,878 |
$0.00 |
| 91300 |
|
400 |
299 |
$0.00 |
| 90707 |
|
26 |
26 |
$0.00 |
| 90685 |
|
28 |
28 |
$0.00 |
| 90710 |
|
26 |
25 |
$0.00 |
| 91308 |
|
70 |
64 |
$0.00 |