| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,157 |
8,258 |
$497K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,431 |
3,025 |
$187K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
509 |
507 |
$48K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
536 |
529 |
$47K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
432 |
432 |
$41K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
344 |
343 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,336 |
1,330 |
$24K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
571 |
557 |
$21K |
| 90461 |
|
815 |
812 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
753 |
471 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
137 |
136 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
354 |
333 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
2,037 |
1,896 |
$3K |
| 85018 |
|
1,076 |
1,072 |
$3K |
| 80053 |
Comprehensive metabolic panel |
549 |
504 |
$3K |
| 81003 |
|
1,079 |
1,066 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
615 |
437 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
541 |
498 |
$2K |
| 99381 |
|
12 |
12 |
$1K |
| 90686 |
|
356 |
345 |
$913.31 |
| 84443 |
Thyroid stimulating hormone (TSH) |
48 |
42 |
$438.13 |
| 80061 |
Lipid panel |
63 |
62 |
$363.60 |
| 81002 |
|
186 |
168 |
$337.28 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
26 |
26 |
$172.19 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
38 |
38 |
$162.21 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
214 |
193 |
$130.43 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
93 |
77 |
$74.62 |
| 82962 |
|
27 |
24 |
$48.12 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
13 |
13 |
$8.79 |
| 90707 |
|
105 |
103 |
$0.00 |
| 90670 |
|
299 |
297 |
$0.00 |
| 90734 |
|
59 |
59 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |
| 90685 |
|
34 |
34 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |
| 90716 |
|
119 |
117 |
$0.00 |
| 90723 |
|
210 |
210 |
$0.00 |
| 90651 |
|
114 |
111 |
$0.00 |
| 90647 |
|
167 |
167 |
$0.00 |
| 90696 |
|
15 |
15 |
$0.00 |