| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9999 |
Unspecified adjunctive procedure, by report |
3,476 |
2,962 |
$1.12M |
| D0140 |
Limited oral evaluation - problem focused |
1,679 |
1,418 |
$542K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,823 |
3,466 |
$219K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
769 |
714 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
746 |
679 |
$25K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
225 |
215 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
36 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
163 |
133 |
$567.89 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
114 |
$276.86 |
| 96127 |
|
101 |
97 |
$184.78 |
| 90658 |
|
31 |
30 |
$164.59 |
| 36415 |
Collection of venous blood by venipuncture |
110 |
108 |
$121.95 |
| 90461 |
|
33 |
29 |
$37.68 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
12 |
12 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
54 |
52 |
$0.00 |
| 86710 |
|
15 |
15 |
$0.00 |
| 99172 |
|
17 |
16 |
$0.00 |