| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64,390 |
55,550 |
$5.90M |
| 99199 |
Unlisted special service, procedure or report |
438,953 |
275,168 |
$2.40M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,300 |
30,587 |
$2.32M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
26,475 |
24,101 |
$1.24M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
9,480 |
8,458 |
$829K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
7,845 |
7,128 |
$717K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,586 |
5,096 |
$506K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26,545 |
23,457 |
$350K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
35,056 |
31,153 |
$318K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,971 |
2,664 |
$292K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16,571 |
7,498 |
$217K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,042 |
1,837 |
$75K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,816 |
1,750 |
$69K |
| 96127 |
|
12,222 |
11,172 |
$51K |
| 81003 |
|
14,036 |
11,514 |
$36K |
| 99215 |
Prolong outpt/office vis |
207 |
179 |
$28K |
| D0145 |
Oral evaluation for a patient under three years of age |
460 |
425 |
$17K |
| 92551 |
|
17,086 |
15,506 |
$14K |
| 99050 |
|
362 |
356 |
$9K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
704 |
587 |
$9K |
| 83655 |
|
584 |
531 |
$9K |
| 90651 |
|
562 |
508 |
$8K |
| D1206 |
Topical application of fluoride varnish |
460 |
425 |
$7K |
| 90686 |
|
6,291 |
5,718 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
552 |
494 |
$5K |
| 87807 |
|
318 |
305 |
$4K |
| 99173 |
|
19,112 |
17,379 |
$4K |
| 99460 |
|
44 |
38 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
30 |
25 |
$2K |
| 90734 |
|
156 |
152 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
669 |
596 |
$2K |
| 86308 |
|
176 |
165 |
$1K |
| 99070 |
|
166 |
143 |
$791.28 |
| 90619 |
|
173 |
140 |
$761.99 |
| 90633 |
|
1,570 |
1,440 |
$353.14 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$231.42 |
| 90715 |
|
24 |
24 |
$129.75 |
| 90670 |
|
5,940 |
5,434 |
$0.00 |
| 90700 |
|
53 |
48 |
$0.00 |
| 90685 |
|
499 |
490 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90621 |
|
17 |
14 |
$0.00 |
| 90710 |
|
53 |
50 |
$0.00 |
| 90680 |
|
2,464 |
2,277 |
$0.00 |
| 90647 |
|
2,575 |
2,363 |
$0.00 |
| 90723 |
|
1,186 |
1,076 |
$0.00 |
| 90744 |
|
77 |
69 |
$0.00 |
| 90677 |
|
473 |
461 |
$0.00 |
| 90697 |
|
321 |
306 |
$0.00 |
| 90698 |
|
226 |
203 |
$0.00 |
| 90696 |
|
53 |
50 |
$0.00 |
| 90656 |
|
400 |
395 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |