| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,427 |
15,238 |
$1.05M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
8,737 |
7,346 |
$793K |
| 99199 |
Unlisted special service, procedure or report |
127,796 |
63,081 |
$697K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,822 |
4,349 |
$419K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,597 |
4,080 |
$399K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
7,043 |
6,341 |
$213K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
11,290 |
10,162 |
$206K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,952 |
1,751 |
$175K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
11,971 |
10,762 |
$101K |
| 0240U |
|
902 |
688 |
$100K |
| 0241U |
Neonatal screening for hereditary disorders, genomic sequence analysis panel |
697 |
546 |
$80K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,164 |
1,062 |
$40K |
| 90474 |
|
1,556 |
1,384 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
266 |
231 |
$25K |
| D1206 |
Topical application of fluoride varnish |
1,228 |
1,121 |
$18K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
1,230 |
1,120 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
567 |
548 |
$15K |
| 99215 |
Prolong outpt/office vis |
98 |
91 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
488 |
406 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
285 |
266 |
$9K |
| 99051 |
|
346 |
341 |
$9K |
| 96161 |
|
2,398 |
2,102 |
$8K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
127 |
116 |
$5K |
| 99460 |
|
51 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
290 |
287 |
$4K |
| 83655 |
|
268 |
233 |
$3K |
| 96127 |
|
835 |
637 |
$3K |
| 90473 |
|
156 |
141 |
$3K |
| 90686 |
|
1,621 |
1,496 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
546 |
477 |
$1K |
| 83718 |
|
113 |
110 |
$1K |
| 92551 |
|
3,988 |
3,556 |
$906.78 |
| 99401 |
|
21 |
12 |
$651.10 |
| 99173 |
|
4,814 |
4,337 |
$570.43 |
| 82465 |
|
113 |
110 |
$559.05 |
| 90651 |
|
13 |
12 |
$420.48 |
| 99304 |
|
55 |
51 |
$343.50 |
| 90672 |
|
208 |
191 |
$321.48 |
| 90674 |
|
411 |
372 |
$175.84 |
| 85018 |
|
15 |
14 |
$37.96 |
| 90633 |
|
483 |
429 |
$35.21 |
| 80053 |
Comprehensive metabolic panel |
13 |
12 |
$20.84 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$9.58 |
| 36416 |
|
181 |
175 |
$3.16 |
| 90710 |
|
232 |
210 |
$0.01 |
| 90647 |
|
1,733 |
1,544 |
$0.00 |
| 90723 |
|
1,857 |
1,658 |
$0.00 |
| 90680 |
|
1,523 |
1,344 |
$0.00 |
| 90670 |
|
3,142 |
2,830 |
$0.00 |
| 90685 |
|
394 |
388 |
$0.00 |
| 90734 |
|
20 |
13 |
$0.00 |