| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,247 |
10,907 |
$24K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
167 |
167 |
$6K |
| 83655 |
|
541 |
539 |
$5K |
| 92551 |
|
610 |
603 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
171 |
171 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
115 |
115 |
$3K |
| 99000 |
|
3,116 |
3,080 |
$3K |
| 93000 |
|
1,749 |
1,741 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
847 |
847 |
$2K |
| 90686 |
|
331 |
326 |
$2K |
| 82043 |
|
1,359 |
1,358 |
$2K |
| 82465 |
|
577 |
575 |
$2K |
| 86580 |
|
730 |
728 |
$2K |
| 82947 |
|
721 |
716 |
$2K |
| 92552 |
|
120 |
120 |
$1K |
| 81000 |
|
1,771 |
1,754 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
50 |
50 |
$985.27 |
| 85018 |
|
666 |
658 |
$796.53 |
| 99173 |
|
530 |
528 |
$602.81 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
82 |
60 |
$554.40 |
| 90674 |
|
317 |
316 |
$516.91 |
| 71046 |
Radiologic examination, chest; 2 views |
846 |
845 |
$498.58 |
| 87110 |
|
1,533 |
1,532 |
$453.15 |
| 87590 |
|
1,655 |
1,653 |
$360.51 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
899 |
897 |
$311.44 |
| 83026 |
|
121 |
121 |
$218.45 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,040 |
2,031 |
$216.82 |
| 81003 |
|
697 |
691 |
$216.02 |
| 3008F |
|
2,515 |
2,483 |
$190.48 |
| 3078F |
|
1,417 |
1,377 |
$181.74 |
| 3061F |
|
925 |
923 |
$135.00 |
| 3074F |
|
806 |
791 |
$125.12 |
| 99386 |
|
41 |
41 |
$112.77 |
| 3044F |
|
1,096 |
1,095 |
$85.00 |
| S3005 |
Performance measurement, evaluation of patient self assessment, depression |
1,377 |
1,377 |
$75.00 |
| 99385 |
|
12 |
12 |
$68.70 |
| 99199 |
Unlisted special service, procedure or report |
823 |
797 |
$58.07 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$53.38 |
| 90649 |
|
14 |
14 |
$27.00 |
| 3075F |
|
248 |
244 |
$25.03 |
| 3077F |
|
427 |
412 |
$18.21 |
| 90715 |
|
13 |
12 |
$18.00 |
| 3079F |
|
148 |
143 |
$15.00 |
| 81002 |
|
600 |
586 |
$4.26 |
| 76830 |
Ultrasound, transvaginal |
26 |
26 |
$0.00 |
| 76536 |
|
144 |
144 |
$0.00 |
| 3014F |
|
13 |
13 |
$0.00 |
| 3080F |
|
13 |
13 |
$0.00 |
| 87624 |
Infectious agent detection by nucleic acid; human papillomavirus (HPV), high-risk types |
40 |
40 |
$0.00 |
| 88150 |
|
41 |
40 |
$0.00 |
| 92081 |
|
205 |
204 |
$0.00 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
516 |
515 |
$0.00 |
| 3015F |
|
82 |
82 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
64 |
64 |
$0.00 |
| 76770 |
|
94 |
94 |
$0.00 |
| 72100 |
|
15 |
15 |
$0.00 |
| 99499 |
|
62 |
60 |
$0.00 |