| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
73,284 |
40,802 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,826 |
4,427 |
$552K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,537 |
3,353 |
$263K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,163 |
979 |
$110K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,183 |
986 |
$105K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
751 |
609 |
$67K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
628 |
495 |
$56K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,590 |
2,111 |
$48K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,514 |
1,239 |
$44K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
904 |
679 |
$43K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,206 |
1,021 |
$41K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,747 |
1,417 |
$22K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,235 |
700 |
$22K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,614 |
2,004 |
$22K |
| D1206 |
Topical application of fluoride varnish |
1,184 |
1,006 |
$18K |
| 96127 |
|
3,807 |
2,700 |
$15K |
| 99408 |
|
548 |
406 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
177 |
166 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
37 |
$6K |
| 83718 |
|
672 |
521 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
114 |
97 |
$4K |
| 82465 |
|
672 |
521 |
$3K |
| 0072A |
|
29 |
25 |
$2K |
| 85018 |
|
833 |
707 |
$2K |
| 92552 |
|
2,698 |
2,197 |
$2K |
| 96161 |
|
403 |
324 |
$1K |
| 99383 |
|
13 |
12 |
$1K |
| 82962 |
|
556 |
437 |
$1K |
| 87807 |
|
43 |
40 |
$566.88 |
| 90734 |
|
69 |
52 |
$566.20 |
| 0001A |
|
24 |
13 |
$527.40 |
| 90651 |
|
89 |
69 |
$491.40 |
| 99173 |
|
2,908 |
2,365 |
$443.27 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
12 |
$352.24 |
| 90474 |
|
14 |
12 |
$287.12 |
| 90619 |
|
29 |
26 |
$155.19 |
| 90633 |
|
141 |
109 |
$56.28 |
| 90686 |
|
167 |
143 |
$54.99 |
| 83655 |
|
28 |
27 |
$29.86 |
| 90680 |
|
14 |
12 |
$0.00 |
| 90698 |
|
319 |
260 |
$0.00 |
| 91307 |
|
81 |
48 |
$0.00 |
| 36416 |
|
104 |
68 |
$0.00 |
| 90677 |
|
56 |
54 |
$0.00 |
| 99000 |
|
26 |
17 |
$0.00 |
| 90744 |
|
33 |
24 |
$0.00 |
| 90656 |
|
25 |
22 |
$0.00 |
| 90670 |
|
253 |
203 |
$0.00 |
| 90756 |
|
85 |
76 |
$0.00 |
| 90710 |
|
16 |
14 |
$0.00 |
| 91300 |
|
50 |
29 |
$0.00 |
| 90700 |
|
17 |
15 |
$0.00 |