| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
53,945 |
43,565 |
$3.11M |
| 99199 |
Unlisted special service, procedure or report |
336,064 |
212,095 |
$1.93M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25,634 |
20,861 |
$938K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,759 |
6,239 |
$663K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,075 |
4,918 |
$538K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
5,907 |
4,891 |
$503K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
4,424 |
3,637 |
$372K |
| 87428 |
|
3,775 |
2,976 |
$202K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,617 |
1,275 |
$141K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13,430 |
9,658 |
$95K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,537 |
2,175 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,730 |
2,265 |
$47K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,812 |
3,050 |
$30K |
| 99051 |
|
1,422 |
1,193 |
$30K |
| 87430 |
|
2,384 |
2,029 |
$28K |
| D0145 |
Oral evaluation for a patient under three years of age |
779 |
655 |
$27K |
| 92551 |
|
19,530 |
15,703 |
$17K |
| 96127 |
|
4,555 |
3,427 |
$17K |
| D1206 |
Topical application of fluoride varnish |
844 |
688 |
$13K |
| 99173 |
|
21,866 |
17,641 |
$13K |
| 87081 |
|
1,400 |
1,217 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
297 |
283 |
$8K |
| 90686 |
|
9,117 |
7,214 |
$7K |
| 80061 |
Lipid panel |
228 |
193 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
81 |
79 |
$3K |
| 81003 |
|
2,657 |
2,000 |
$3K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
54 |
39 |
$2K |
| 99050 |
|
76 |
63 |
$2K |
| 90651 |
|
94 |
88 |
$936.00 |
| 82948 |
|
267 |
229 |
$924.08 |
| 96161 |
|
212 |
160 |
$610.55 |
| 87807 |
|
46 |
39 |
$607.59 |
| 90734 |
|
14 |
14 |
$434.82 |
| 99401 |
|
36 |
21 |
$229.80 |
| 83655 |
|
160 |
117 |
$123.19 |
| 36416 |
|
4,911 |
3,763 |
$20.50 |
| 90656 |
|
724 |
699 |
$0.09 |
| 90670 |
|
1,840 |
1,562 |
$0.00 |
| 99072 |
|
1,126 |
952 |
$0.00 |
| 90633 |
|
257 |
204 |
$0.00 |
| 90685 |
|
129 |
124 |
$0.00 |
| 90707 |
|
109 |
82 |
$0.00 |
| 90680 |
|
577 |
534 |
$0.00 |
| 99000 |
|
1,023 |
851 |
$0.00 |
| 90698 |
|
714 |
646 |
$0.00 |
| 90716 |
|
125 |
95 |
$0.00 |
| 90744 |
|
218 |
193 |
$0.00 |
| 90696 |
|
15 |
12 |
$0.00 |
| 90677 |
|
12 |
12 |
$0.00 |