| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
228,966 |
197,534 |
$1.69M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,118 |
20,765 |
$1.44M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,482 |
3,698 |
$202K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,538 |
1,390 |
$130K |
| 99051 |
|
3,329 |
2,773 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
770 |
585 |
$67K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
691 |
554 |
$67K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,094 |
3,553 |
$52K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,124 |
3,224 |
$36K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,460 |
699 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
122 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
51 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
202 |
184 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
41 |
$2K |
| 90461 |
|
230 |
148 |
$2K |
| 90686 |
|
852 |
726 |
$1K |
| 81003 |
|
696 |
590 |
$852.44 |
| 96127 |
|
136 |
99 |
$509.31 |
| 87807 |
|
24 |
13 |
$268.92 |
| 85018 |
|
70 |
53 |
$111.21 |
| 99173 |
|
59 |
48 |
$41.75 |
| 90656 |
|
15 |
14 |
$20.94 |
| 92551 |
|
31 |
27 |
$1.00 |
| 90680 |
|
30 |
27 |
$0.00 |
| 90698 |
|
405 |
306 |
$0.00 |
| 90744 |
|
16 |
13 |
$0.00 |
| 90670 |
|
407 |
305 |
$0.00 |
| 90710 |
|
14 |
14 |
$0.00 |