| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,280 |
8,171 |
$5.96M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,616 |
1,463 |
$978K |
| 86580 |
|
601 |
596 |
$301K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
357 |
316 |
$217K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,589 |
1,529 |
$110K |
| 71046 |
Radiologic examination, chest; 2 views |
513 |
356 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
77 |
77 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
47 |
$32K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
216 |
208 |
$23K |
| 80053 |
Comprehensive metabolic panel |
836 |
749 |
$23K |
| 99442 |
|
61 |
44 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
801 |
758 |
$15K |
| 92002 |
|
19 |
17 |
$12K |
| 99441 |
|
19 |
19 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,051 |
943 |
$8K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
62 |
55 |
$7K |
| 92015 |
Determination of refractive state |
111 |
104 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
16 |
14 |
$5K |
| 81001 |
|
435 |
402 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$4K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
244 |
235 |
$3K |
| 80061 |
Lipid panel |
158 |
155 |
$2K |
| 86703 |
|
76 |
74 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
173 |
150 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
41 |
40 |
$945.00 |
| 86780 |
|
104 |
100 |
$862.00 |
| 82570 |
|
29 |
29 |
$0.00 |
| 84439 |
|
41 |
38 |
$0.00 |
| 81025 |
|
16 |
14 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
186 |
183 |
$0.00 |
| 85018 |
|
86 |
86 |
$0.00 |
| 82043 |
|
29 |
29 |
$0.00 |
| 99050 |
|
31 |
29 |
$0.00 |