| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31,394 |
24,331 |
$1.76M |
| 99199 |
Unlisted special service, procedure or report |
251,460 |
125,918 |
$1.58M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,195 |
11,006 |
$1.13M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
6,209 |
5,243 |
$518K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
6,203 |
4,948 |
$510K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
4,028 |
3,420 |
$347K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
9,911 |
8,260 |
$336K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16,786 |
14,165 |
$301K |
| U0002 |
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc |
7,327 |
4,838 |
$252K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,339 |
1,972 |
$226K |
| 87400 |
|
7,418 |
4,812 |
$132K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,596 |
2,142 |
$88K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
7,622 |
6,377 |
$68K |
| D0145 |
Oral evaluation for a patient under three years of age |
1,997 |
1,780 |
$61K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,428 |
3,859 |
$52K |
| 99401 |
|
1,810 |
1,343 |
$46K |
| 96127 |
|
8,738 |
7,361 |
$33K |
| D1206 |
Topical application of fluoride varnish |
1,997 |
1,781 |
$27K |
| 99460 |
|
302 |
283 |
$23K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
350 |
324 |
$22K |
| 90474 |
|
886 |
691 |
$16K |
| 96161 |
|
4,461 |
3,091 |
$14K |
| 99462 |
|
399 |
282 |
$13K |
| 83655 |
|
1,118 |
875 |
$13K |
| 85018 |
|
12,920 |
10,815 |
$12K |
| 92551 |
|
9,642 |
8,131 |
$12K |
| 99383 |
|
102 |
80 |
$11K |
| 99051 |
|
331 |
277 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
49 |
48 |
$7K |
| 90651 |
|
832 |
701 |
$7K |
| 87807 |
|
535 |
351 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
28 |
$5K |
| 80061 |
Lipid panel |
296 |
278 |
$5K |
| 99382 |
|
35 |
30 |
$3K |
| 90734 |
|
687 |
565 |
$3K |
| 88720 |
|
526 |
274 |
$3K |
| 90686 |
|
3,956 |
3,504 |
$2K |
| 0071A |
|
36 |
30 |
$2K |
| 90620 |
|
144 |
115 |
$2K |
| 94664 |
|
141 |
128 |
$2K |
| 99173 |
|
10,485 |
8,797 |
$1K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
35 |
29 |
$988.81 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$965.32 |
| 90677 |
|
514 |
447 |
$268.63 |
| 90723 |
|
2,914 |
2,431 |
$194.08 |
| 90715 |
|
146 |
117 |
$174.15 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
13 |
$124.54 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$122.16 |
| A7006 |
Administration set, with small volume filtered pneumatic nebulizer |
17 |
12 |
$120.64 |
| 99070 |
|
12 |
12 |
$113.04 |
| 36415 |
Collection of venous blood by venipuncture |
37 |
28 |
$83.70 |
| 86308 |
|
14 |
13 |
$82.94 |
| 94760 |
|
2,372 |
2,121 |
$74.92 |
| 81003 |
|
33 |
27 |
$49.38 |
| 90647 |
|
2,771 |
2,310 |
$29.83 |
| 90656 |
|
160 |
157 |
$0.21 |
| 90633 |
|
1,574 |
1,289 |
$0.00 |
| 90670 |
|
3,664 |
3,047 |
$0.00 |
| 90707 |
|
232 |
170 |
$0.00 |
| 90681 |
|
903 |
711 |
$0.00 |
| 90685 |
|
156 |
148 |
$0.00 |
| 90700 |
|
168 |
131 |
$0.00 |
| 90710 |
|
229 |
188 |
$0.00 |
| 99000 |
|
1,099 |
856 |
$0.00 |
| 91307 |
|
86 |
64 |
$0.00 |
| 90716 |
|
198 |
146 |
$0.00 |
| 90696 |
|
212 |
173 |
$0.00 |