| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,996 |
5,489 |
$480K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,445 |
3,206 |
$186K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,153 |
1,135 |
$77K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,055 |
1,041 |
$72K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
778 |
755 |
$51K |
| 99215 |
Prolong outpt/office vis |
256 |
216 |
$25K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
330 |
320 |
$21K |
| 90670 |
|
922 |
895 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
130 |
118 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
210 |
189 |
$16K |
| D1206 |
Topical application of fluoride varnish |
990 |
969 |
$14K |
| 90686 |
|
716 |
705 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
981 |
932 |
$12K |
| 90698 |
|
651 |
635 |
$12K |
| 90744 |
|
522 |
505 |
$10K |
| 90685 |
|
517 |
495 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,015 |
955 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
244 |
237 |
$9K |
| 99070 |
|
1,479 |
1,447 |
$9K |
| 90633 |
|
439 |
425 |
$8K |
| 99173 |
|
1,886 |
1,832 |
$7K |
| 90680 |
|
352 |
345 |
$7K |
| 92551 |
|
1,530 |
1,482 |
$7K |
| 81002 |
|
1,979 |
1,875 |
$6K |
| 94060 |
|
190 |
160 |
$5K |
| 96127 |
|
1,142 |
1,094 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
272 |
255 |
$5K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
98 |
92 |
$5K |
| 83655 |
|
307 |
305 |
$4K |
| D0145 |
Oral evaluation for a patient under three years of age |
197 |
196 |
$4K |
| 90716 |
|
197 |
189 |
$4K |
| 90707 |
|
201 |
191 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
78 |
72 |
$3K |
| 90700 |
|
172 |
167 |
$3K |
| 90651 |
|
192 |
168 |
$3K |
| 90648 |
|
148 |
145 |
$3K |
| 90681 |
|
138 |
134 |
$3K |
| 86308 |
|
379 |
361 |
$2K |
| 90672 |
|
98 |
89 |
$2K |
| 90710 |
|
101 |
93 |
$2K |
| 90696 |
|
103 |
94 |
$2K |
| 85014 |
|
515 |
504 |
$1K |
| 85018 |
|
513 |
503 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
140 |
136 |
$1K |
| 94664 |
|
165 |
160 |
$1K |
| 90688 |
|
101 |
89 |
$1K |
| 90734 |
|
92 |
77 |
$1K |
| 99174 |
|
44 |
43 |
$1K |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
57 |
52 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
506 |
485 |
$920.00 |
| 87807 |
|
78 |
78 |
$836.00 |
| 94010 |
|
42 |
42 |
$672.00 |
| 81025 |
|
254 |
225 |
$662.60 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
50 |
45 |
$646.10 |
| 80305 |
|
68 |
64 |
$638.67 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
72 |
64 |
$531.00 |
| 87808 |
|
45 |
42 |
$440.00 |
| 90715 |
|
12 |
12 |
$249.96 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
14 |
12 |
$120.00 |
| 99080 |
|
627 |
552 |
$0.00 |