| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34,872 |
30,382 |
$2.10M |
| 99199 |
Unlisted special service, procedure or report |
384,675 |
206,899 |
$2.02M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,717 |
13,999 |
$1.37M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,162 |
5,667 |
$549K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,175 |
4,686 |
$462K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,351 |
4,893 |
$458K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
11,729 |
9,572 |
$430K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
10,453 |
9,325 |
$403K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17,524 |
15,612 |
$336K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,957 |
2,601 |
$277K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15,775 |
7,212 |
$213K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12,657 |
11,540 |
$103K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,480 |
4,992 |
$74K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,980 |
1,857 |
$67K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,121 |
3,643 |
$36K |
| 90474 |
|
1,757 |
1,633 |
$35K |
| D1206 |
Topical application of fluoride varnish |
2,004 |
1,876 |
$30K |
| 99381 |
|
345 |
309 |
$29K |
| 99051 |
|
1,100 |
1,008 |
$27K |
| 90651 |
|
1,097 |
938 |
$26K |
| 81002 |
|
11,652 |
10,335 |
$24K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,319 |
1,121 |
$24K |
| 99401 |
|
939 |
739 |
$23K |
| 96127 |
|
5,762 |
4,645 |
$22K |
| 99441 |
|
643 |
513 |
$18K |
| 87807 |
|
1,278 |
1,136 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
380 |
358 |
$14K |
| 0071A |
|
309 |
204 |
$13K |
| 0001A |
|
272 |
198 |
$13K |
| 83655 |
|
856 |
794 |
$12K |
| 0002A |
|
259 |
163 |
$12K |
| 0072A |
|
211 |
148 |
$10K |
| 92552 |
|
1,159 |
1,003 |
$10K |
| 90734 |
|
621 |
565 |
$9K |
| 90686 |
|
5,787 |
5,242 |
$6K |
| 92587 |
|
255 |
211 |
$6K |
| 99173 |
|
10,694 |
9,908 |
$5K |
| 92551 |
|
3,998 |
3,732 |
$4K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
300 |
261 |
$3K |
| 90620 |
|
149 |
110 |
$2K |
| 90715 |
|
328 |
282 |
$1K |
| 82465 |
|
226 |
213 |
$1K |
| 90688 |
|
690 |
651 |
$930.30 |
| 90670 |
|
4,089 |
3,771 |
$913.28 |
| 81025 |
|
105 |
99 |
$746.58 |
| 90716 |
|
1,383 |
1,292 |
$714.65 |
| 94010 |
|
24 |
24 |
$613.92 |
| 36415 |
Collection of venous blood by venipuncture |
221 |
199 |
$561.12 |
| 69210 |
|
18 |
15 |
$556.76 |
| 94150 |
|
30 |
29 |
$502.28 |
| 90633 |
|
1,337 |
1,243 |
$302.96 |
| 90707 |
|
1,336 |
1,241 |
$254.73 |
| 99177 |
|
682 |
564 |
$242.73 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
17 |
13 |
$214.89 |
| 90619 |
|
249 |
157 |
$152.15 |
| 92081 |
|
109 |
92 |
$119.22 |
| 91300 |
|
688 |
451 |
$25.94 |
| 1003F |
|
1,354 |
1,326 |
$0.00 |
| 90685 |
|
36 |
36 |
$0.00 |
| 90700 |
|
182 |
179 |
$0.00 |
| 98960 |
|
15 |
15 |
$0.00 |
| 90647 |
|
2,876 |
2,654 |
$0.00 |
| 90723 |
|
2,690 |
2,506 |
$0.00 |
| 90680 |
|
1,780 |
1,664 |
$0.00 |
| 91307 |
|
697 |
449 |
$0.00 |
| 90696 |
|
312 |
298 |
$0.00 |
| 91305 |
|
58 |
43 |
$0.00 |
| 94760 |
|
14 |
14 |
$0.00 |