| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67,896 |
57,318 |
$3.93M |
| 99199 |
Unlisted special service, procedure or report |
442,734 |
248,227 |
$2.63M |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28,045 |
24,385 |
$1.16M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12,436 |
10,669 |
$1.07M |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
5,865 |
4,916 |
$509K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
4,844 |
4,132 |
$443K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
5,079 |
4,044 |
$232K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
20,720 |
18,021 |
$186K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,818 |
1,580 |
$162K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
8,903 |
3,800 |
$109K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,853 |
3,211 |
$102K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,974 |
4,349 |
$93K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
1,016 |
884 |
$56K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,748 |
2,519 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
499 |
440 |
$18K |
| 99401 |
|
618 |
463 |
$16K |
| 90686 |
|
9,164 |
8,031 |
$16K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,771 |
1,592 |
$15K |
| 99051 |
|
563 |
542 |
$13K |
| D0145 |
Oral evaluation for a patient under three years of age |
277 |
237 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
92 |
$10K |
| 0071A |
|
185 |
137 |
$9K |
| 96161 |
|
2,732 |
2,302 |
$9K |
| 87081 |
|
1,255 |
1,149 |
$8K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
6,171 |
5,807 |
$6K |
| 96127 |
|
1,144 |
1,015 |
$5K |
| 0001A |
|
84 |
80 |
$5K |
| 92551 |
|
11,863 |
10,360 |
$5K |
| D1206 |
Topical application of fluoride varnish |
293 |
251 |
$5K |
| 0072A |
|
80 |
70 |
$5K |
| 0002A |
|
54 |
53 |
$3K |
| 87634 |
|
63 |
52 |
$2K |
| 99173 |
|
9,192 |
8,032 |
$2K |
| 90480 |
|
26 |
17 |
$885.00 |
| 87807 |
|
84 |
58 |
$791.28 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
24 |
19 |
$427.11 |
| 83655 |
|
30 |
25 |
$364.32 |
| 99070 |
|
56 |
48 |
$328.39 |
| 90656 |
|
565 |
477 |
$173.22 |
| 82465 |
|
13 |
12 |
$58.96 |
| 81002 |
|
28 |
24 |
$53.55 |
| 94760 |
|
952 |
868 |
$28.98 |
| 36416 |
|
2,751 |
2,417 |
$15.80 |
| S8301 |
Infection control supplies, not otherwise specified |
1,163 |
917 |
$7.50 |
| 99000 |
|
2,353 |
1,882 |
$0.00 |
| 91307 |
|
322 |
252 |
$0.00 |
| 90698 |
|
597 |
526 |
$0.00 |
| 90680 |
|
464 |
421 |
$0.00 |
| 90744 |
|
56 |
55 |
$0.00 |
| 91318 |
|
26 |
17 |
$0.00 |
| 96152 |
|
2,291 |
2,157 |
$0.00 |
| 90670 |
|
1,652 |
1,432 |
$0.00 |
| 90633 |
|
32 |
25 |
$0.00 |
| 90685 |
|
198 |
197 |
$0.00 |
| 91300 |
|
197 |
187 |
$0.00 |
| 91308 |
|
18 |
14 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |