| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99215 |
Prolong outpt/office vis |
8,925 |
7,306 |
$1.05M |
| 99199 |
Unlisted special service, procedure or report |
107,360 |
57,751 |
$516K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,430 |
2,782 |
$282K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,719 |
1,476 |
$151K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,755 |
1,529 |
$149K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,275 |
1,061 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,201 |
989 |
$98K |
| 99401 |
|
2,903 |
2,436 |
$94K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,903 |
4,235 |
$88K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,310 |
2,821 |
$86K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,413 |
1,265 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
562 |
356 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,189 |
1,782 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,174 |
2,726 |
$22K |
| D1206 |
Topical application of fluoride varnish |
1,409 |
1,264 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,361 |
1,134 |
$16K |
| 96127 |
|
3,639 |
3,163 |
$14K |
| 99406 |
|
754 |
687 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
385 |
298 |
$7K |
| 90651 |
|
335 |
295 |
$5K |
| 81002 |
|
1,883 |
1,562 |
$4K |
| 96160 |
|
1,027 |
842 |
$3K |
| 87807 |
|
315 |
231 |
$3K |
| 90734 |
|
375 |
307 |
$3K |
| 85018 |
|
2,284 |
1,861 |
$2K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
91 |
86 |
$2K |
| 90474 |
|
153 |
131 |
$2K |
| 0071A |
|
19 |
14 |
$919.18 |
| 83655 |
|
66 |
66 |
$747.54 |
| 90649 |
|
74 |
51 |
$656.80 |
| 90620 |
|
59 |
53 |
$579.15 |
| 90686 |
|
1,688 |
1,441 |
$568.03 |
| 90677 |
|
157 |
117 |
$537.26 |
| 0001A |
|
28 |
12 |
$520.00 |
| 90619 |
|
58 |
49 |
$491.26 |
| 99070 |
|
42 |
42 |
$375.82 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$262.20 |
| 90715 |
|
146 |
110 |
$238.30 |
| 92552 |
|
362 |
331 |
$75.00 |
| 90658 |
|
66 |
65 |
$63.10 |
| 90633 |
|
223 |
211 |
$0.00 |
| 90710 |
|
172 |
156 |
$0.00 |
| 90670 |
|
1,168 |
1,074 |
$0.00 |
| 99173 |
|
344 |
312 |
$0.00 |
| 90685 |
|
49 |
48 |
$0.00 |
| 90681 |
|
143 |
130 |
$0.00 |
| 91300 |
|
31 |
12 |
$0.00 |
| 99080 |
|
72 |
48 |
$0.00 |
| 90461 |
|
13 |
13 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90700 |
|
27 |
24 |
$0.00 |
| 90723 |
|
652 |
593 |
$0.00 |
| 90657 |
|
52 |
52 |
$0.00 |
| 90647 |
|
713 |
671 |
$0.00 |
| 90696 |
|
39 |
39 |
$0.00 |
| 90716 |
|
14 |
14 |
$0.00 |
| 91307 |
|
64 |
47 |
$0.00 |
| 90656 |
|
18 |
12 |
$0.00 |