| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,650 |
9,041 |
$971K |
| 99199 |
Unlisted special service, procedure or report |
84,110 |
50,797 |
$589K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
2,390 |
1,901 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,622 |
1,212 |
$103K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,009 |
886 |
$87K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,044 |
868 |
$87K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,151 |
2,462 |
$75K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,552 |
3,030 |
$66K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,983 |
1,695 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
564 |
468 |
$47K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
528 |
427 |
$46K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,320 |
2,730 |
$42K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,387 |
1,820 |
$18K |
| 99215 |
Prolong outpt/office vis |
147 |
124 |
$16K |
| D0145 |
Oral evaluation for a patient under three years of age |
705 |
602 |
$16K |
| 87807 |
|
1,241 |
990 |
$15K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
434 |
373 |
$15K |
| 96127 |
|
3,586 |
2,621 |
$14K |
| 99408 |
|
331 |
262 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
159 |
127 |
$6K |
| 83718 |
|
369 |
305 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
124 |
89 |
$2K |
| 85018 |
|
1,018 |
799 |
$2K |
| 82465 |
|
369 |
305 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
21 |
20 |
$2K |
| 0071A |
|
28 |
25 |
$2K |
| D1206 |
Topical application of fluoride varnish |
149 |
124 |
$1K |
| 92552 |
|
2,966 |
2,507 |
$1K |
| 90686 |
|
671 |
591 |
$953.65 |
| 99383 |
|
14 |
12 |
$935.04 |
| 0072A |
|
12 |
12 |
$786.28 |
| 99173 |
|
3,291 |
2,762 |
$554.15 |
| 94760 |
|
4,770 |
3,634 |
$473.38 |
| 86308 |
|
56 |
55 |
$350.90 |
| 90698 |
|
383 |
336 |
$213.57 |
| 90619 |
|
87 |
72 |
$171.22 |
| 96161 |
|
18 |
14 |
$63.65 |
| 94761 |
|
37 |
29 |
$3.95 |
| 99000 |
|
1,407 |
1,070 |
$0.00 |
| 90651 |
|
99 |
88 |
$0.00 |
| 90677 |
|
113 |
110 |
$0.00 |
| 90656 |
|
41 |
39 |
$0.00 |
| 90744 |
|
30 |
24 |
$0.00 |
| 90696 |
|
26 |
24 |
$0.00 |
| 91307 |
|
47 |
41 |
$0.00 |
| 36416 |
|
31 |
29 |
$0.00 |
| 90670 |
|
239 |
199 |
$0.00 |
| 90633 |
|
168 |
143 |
$0.00 |
| 90710 |
|
29 |
26 |
$0.00 |
| 90621 |
|
13 |
12 |
$0.00 |