| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18,013 |
14,731 |
$1.04M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,175 |
8,380 |
$876K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
7,829 |
5,891 |
$621K |
| 99199 |
Unlisted special service, procedure or report |
94,786 |
62,733 |
$494K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
5,309 |
4,687 |
$457K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
8,009 |
7,014 |
$246K |
| 99215 |
Prolong outpt/office vis |
1,728 |
1,422 |
$213K |
| D0145 |
Oral evaluation for a patient under three years of age |
4,821 |
4,284 |
$155K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
7,560 |
6,614 |
$136K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,165 |
1,043 |
$107K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,077 |
3,547 |
$78K |
| D1206 |
Topical application of fluoride varnish |
4,778 |
4,243 |
$68K |
| 90474 |
|
2,660 |
2,256 |
$49K |
| 96127 |
|
6,825 |
5,753 |
$30K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
429 |
368 |
$26K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
8,818 |
7,745 |
$24K |
| 96161 |
|
6,887 |
4,686 |
$20K |
| 99205 |
Prolong outpt/office vis |
109 |
107 |
$16K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,135 |
860 |
$13K |
| 99233 |
Prolong inpt eval add15 m |
133 |
89 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
51 |
$6K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
55 |
53 |
$5K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
122 |
111 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
93 |
81 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
353 |
179 |
$3K |
| 99460 |
|
49 |
36 |
$3K |
| 97802 |
|
392 |
332 |
$2K |
| 99354 |
|
36 |
28 |
$2K |
| 99401 |
|
85 |
69 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
15 |
$2K |
| 90473 |
|
71 |
61 |
$1K |
| 80061 |
Lipid panel |
231 |
139 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
68 |
45 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 99443 |
|
28 |
14 |
$1K |
| 99356 |
|
18 |
13 |
$1K |
| 90686 |
|
3,063 |
2,714 |
$836.67 |
| 99407 |
|
56 |
43 |
$424.84 |
| 87807 |
|
46 |
29 |
$395.92 |
| 99173 |
|
2,220 |
1,925 |
$367.00 |
| 85018 |
|
605 |
554 |
$345.18 |
| 92551 |
|
1,877 |
1,623 |
$343.89 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
49 |
26 |
$314.24 |
| 94664 |
|
38 |
32 |
$311.64 |
| 90677 |
|
507 |
500 |
$291.76 |
| 81002 |
|
213 |
156 |
$236.25 |
| 90656 |
|
149 |
149 |
$162.56 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
29 |
17 |
$95.76 |
| 82947 |
|
31 |
18 |
$43.56 |
| 90633 |
|
1,079 |
991 |
$35.20 |
| 90647 |
|
2,012 |
1,767 |
$29.52 |
| 94760 |
|
377 |
312 |
$18.63 |
| 90685 |
|
127 |
101 |
$0.00 |
| 90670 |
|
4,036 |
3,466 |
$0.00 |
| 90672 |
|
84 |
72 |
$0.00 |
| 90681 |
|
190 |
171 |
$0.00 |
| 90710 |
|
288 |
274 |
$0.00 |
| 90671 |
|
14 |
13 |
$0.00 |
| 90700 |
|
45 |
41 |
$0.00 |
| 90707 |
|
14 |
13 |
$0.00 |
| 90723 |
|
2,395 |
2,033 |
$0.00 |
| 90697 |
|
835 |
744 |
$0.00 |
| 90680 |
|
2,197 |
1,870 |
$0.00 |
| 90688 |
|
204 |
197 |
$0.00 |
| 99000 |
|
89 |
80 |
$0.00 |
| 36416 |
|
113 |
94 |
$0.00 |
| 90696 |
|
24 |
24 |
$0.00 |
| 90716 |
|
14 |
13 |
$0.00 |