| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,541 |
8,393 |
$268K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
5,923 |
4,682 |
$143K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,724 |
4,204 |
$92K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,776 |
3,618 |
$36K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,577 |
1,512 |
$17K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,424 |
1,358 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
472 |
458 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
528 |
515 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
379 |
364 |
$11K |
| X5622 |
|
17,263 |
9,201 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
287 |
284 |
$9K |
| 90688 |
|
1,045 |
1,007 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
5,181 |
4,466 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
161 |
154 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,741 |
1,500 |
$4K |
| 92551 |
|
1,528 |
1,464 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,219 |
1,153 |
$4K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,353 |
1,199 |
$4K |
| 80061 |
Lipid panel |
648 |
631 |
$3K |
| 96127 |
|
1,347 |
1,294 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
90 |
81 |
$2K |
| 90715 |
|
277 |
267 |
$2K |
| 90670 |
|
347 |
336 |
$2K |
| 90651 |
|
207 |
200 |
$2K |
| 99215 |
Prolong outpt/office vis |
27 |
27 |
$2K |
| 90691 |
|
30 |
29 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
727 |
691 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
478 |
463 |
$2K |
| 80306 |
|
164 |
141 |
$2K |
| 81025 |
|
545 |
507 |
$1K |
| 99188 |
|
281 |
275 |
$1K |
| 99384 |
|
15 |
15 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
141 |
131 |
$1K |
| 80053 |
Comprehensive metabolic panel |
324 |
309 |
$1K |
| 99173 |
|
1,518 |
1,458 |
$822.51 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
355 |
343 |
$810.81 |
| 85027 |
|
190 |
184 |
$775.27 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
299 |
285 |
$739.97 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
299 |
284 |
$739.97 |
| 90734 |
|
164 |
156 |
$732.27 |
| 90716 |
|
96 |
91 |
$634.75 |
| 87210 |
|
312 |
294 |
$563.58 |
| 96161 |
|
614 |
588 |
$533.43 |
| 90662 |
|
39 |
38 |
$476.62 |
| 85018 |
|
544 |
525 |
$441.16 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
106 |
106 |
$430.50 |
| 36416 |
|
259 |
237 |
$427.38 |
| 90686 |
|
435 |
423 |
$387.01 |
| 81001 |
|
247 |
236 |
$298.96 |
| 81003 |
|
399 |
371 |
$249.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
71 |
71 |
$206.40 |
| 80076 |
|
66 |
65 |
$192.26 |
| 93000 |
|
41 |
41 |
$162.37 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
126 |
126 |
$157.50 |
| G0008 |
Administration of influenza virus vaccine |
53 |
53 |
$143.60 |
| 82043 |
|
29 |
29 |
$130.44 |
| 82570 |
|
42 |
42 |
$123.24 |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
61 |
61 |
$120.00 |
| 80305 |
|
84 |
71 |
$46.35 |
| 87650 |
|
39 |
39 |
$24.36 |
| 90474 |
|
13 |
13 |
$13.20 |
| 87340 |
|
85 |
84 |
$12.55 |
| 90685 |
|
109 |
106 |
$0.45 |
| 83655 |
|
256 |
250 |
$0.00 |
| 90648 |
|
273 |
265 |
$0.00 |
| 90633 |
|
186 |
177 |
$0.00 |
| 90681 |
|
58 |
56 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
51 |
25 |
$0.00 |
| 90710 |
|
12 |
12 |
$0.00 |
| 90700 |
|
28 |
28 |
$0.00 |
| 90687 |
|
15 |
15 |
$0.00 |
| 90707 |
|
28 |
28 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
224 |
221 |
$0.00 |
| 90723 |
|
204 |
200 |
$0.00 |
| 86592 |
|
239 |
233 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
14 |
13 |
$0.00 |
| 99000 |
|
12 |
12 |
$0.00 |
| 86706 |
|
14 |
14 |
$0.00 |
| 86803 |
|
14 |
13 |
$0.00 |