| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,751 |
10,571 |
$402K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,573 |
6,791 |
$356K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,971 |
2,891 |
$27K |
| 36415 |
Collection of venous blood by venipuncture |
5,638 |
5,025 |
$14K |
| 90686 |
|
1,292 |
1,259 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
100 |
99 |
$9K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
323 |
318 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
70 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
186 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
60 |
52 |
$4K |
| 80050 |
General health panel |
90 |
88 |
$4K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
187 |
181 |
$3K |
| 3074F |
|
5,343 |
4,923 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
30 |
28 |
$2K |
| 80061 |
Lipid panel |
147 |
144 |
$2K |
| 3078F |
|
4,045 |
3,724 |
$2K |
| 3079F |
|
1,001 |
934 |
$1K |
| 96127 |
|
47 |
43 |
$1K |
| 90656 |
|
81 |
81 |
$702.71 |
| 3077F |
|
235 |
213 |
$660.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
27 |
27 |
$613.68 |
| 80053 |
Comprehensive metabolic panel |
48 |
48 |
$566.51 |
| 3075F |
|
202 |
189 |
$400.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$393.62 |
| 90734 |
|
13 |
12 |
$365.78 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
40 |
36 |
$283.05 |
| 85027 |
|
28 |
27 |
$215.98 |
| 71046 |
Radiologic examination, chest; 2 views |
12 |
12 |
$173.15 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
12 |
12 |
$132.83 |
| 81003 |
|
27 |
26 |
$51.24 |
| 3080F |
|
134 |
120 |
$0.00 |
| 99406 |
|
14 |
12 |
$0.00 |