| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,587 |
6,126 |
$549K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,963 |
4,462 |
$444K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,908 |
3,497 |
$309K |
| 92551 |
|
3,362 |
3,183 |
$188K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,549 |
1,508 |
$129K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,403 |
1,347 |
$115K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,365 |
1,343 |
$111K |
| 99173 |
|
3,079 |
2,943 |
$96K |
| 99441 |
|
1,590 |
1,508 |
$73K |
| 90686 |
|
3,176 |
3,168 |
$44K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
513 |
$43K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
609 |
604 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,544 |
4,691 |
$43K |
| 1126F |
|
9,419 |
7,299 |
$42K |
| 99442 |
|
833 |
797 |
$28K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
251 |
218 |
$24K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
383 |
382 |
$23K |
| 80053 |
Comprehensive metabolic panel |
4,993 |
4,974 |
$21K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
2,290 |
2,269 |
$20K |
| 99215 |
Prolong outpt/office vis |
186 |
183 |
$18K |
| 83655 |
|
1,396 |
1,395 |
$18K |
| 96127 |
|
6,867 |
6,350 |
$18K |
| 36415 |
Collection of venous blood by venipuncture |
5,448 |
4,897 |
$17K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
1,823 |
1,807 |
$13K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
2,626 |
2,622 |
$11K |
| 84439 |
|
3,728 |
3,716 |
$11K |
| 80061 |
Lipid panel |
4,388 |
4,376 |
$10K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,852 |
3,837 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
3,926 |
3,914 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,283 |
6,260 |
$7K |
| 81001 |
|
4,249 |
2,913 |
$5K |
| 90461 |
|
629 |
623 |
$5K |
| 86803 |
|
1,991 |
1,988 |
$5K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
761 |
761 |
$5K |
| 82652 |
|
275 |
275 |
$4K |
| 90651 |
|
390 |
390 |
$4K |
| 1159F |
|
8,932 |
8,052 |
$4K |
| 90671 |
|
136 |
136 |
$3K |
| 82043 |
|
1,661 |
1,654 |
$3K |
| 87340 |
|
1,015 |
1,012 |
$2K |
| 90620 |
|
147 |
145 |
$2K |
| 86780 |
|
1,005 |
982 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
717 |
707 |
$2K |
| 82728 |
|
455 |
455 |
$2K |
| 82607 |
|
506 |
502 |
$2K |
| 86592 |
|
1,478 |
1,473 |
$2K |
| 90633 |
|
234 |
233 |
$1K |
| 90670 |
|
391 |
391 |
$1K |
| 90723 |
|
218 |
218 |
$1K |
| 82746 |
|
304 |
304 |
$1K |
| 90734 |
|
364 |
363 |
$1K |
| 86480 |
|
57 |
56 |
$1K |
| 90715 |
|
59 |
59 |
$777.09 |
| 81003 |
|
992 |
989 |
$743.60 |
| 83550 |
|
541 |
541 |
$631.96 |
| 97802 |
|
15 |
15 |
$530.74 |
| 97803 |
|
13 |
13 |
$529.76 |
| 86593 |
|
445 |
443 |
$521.48 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
14 |
13 |
$407.53 |
| 99443 |
|
12 |
12 |
$374.10 |
| 82962 |
|
1,144 |
845 |
$317.52 |
| 86580 |
|
220 |
209 |
$234.11 |
| 90648 |
|
186 |
186 |
$196.35 |
| 90710 |
|
25 |
25 |
$172.35 |
| 86706 |
|
63 |
63 |
$106.58 |
| 86140 |
|
30 |
30 |
$99.37 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
13 |
$90.68 |
| 88142 |
|
42 |
42 |
$81.04 |
| 87070 |
|
46 |
45 |
$73.82 |
| 81025 |
|
74 |
58 |
$38.00 |
| 90696 |
|
12 |
12 |
$35.70 |
| 3078F |
|
1,699 |
1,597 |
$30.11 |
| 87400 |
|
125 |
121 |
$29.36 |
| 87088 |
|
29 |
27 |
$24.27 |
| 82947 |
|
157 |
143 |
$21.47 |
| 84999 |
|
105 |
105 |
$21.35 |
| 86762 |
|
12 |
12 |
$19.97 |
| 86765 |
|
14 |
14 |
$18.46 |
| 83020 |
|
13 |
13 |
$14.70 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
74 |
$7.50 |
| 85046 |
|
12 |
12 |
$4.29 |
| 1160F |
|
8,580 |
7,894 |
$0.02 |
| 3074F |
|
1,889 |
1,772 |
$0.00 |
| 3008F |
|
7,671 |
7,057 |
$0.00 |
| 4010F |
|
120 |
111 |
$0.00 |
| 3049F |
|
224 |
200 |
$0.00 |
| 3044F |
|
1,493 |
1,413 |
$0.00 |
| 1125F |
|
868 |
832 |
$0.00 |
| 3079F |
|
883 |
844 |
$0.00 |
| 3075F |
|
465 |
452 |
$0.00 |
| 3061F |
|
234 |
223 |
$0.00 |
| 1036F |
|
1,185 |
1,092 |
$0.00 |
| 3048F |
|
369 |
341 |
$0.00 |
| 3080F |
|
73 |
70 |
$0.00 |
| 3725F |
|
2,154 |
2,051 |
$0.00 |
| 3046F |
|
504 |
457 |
$0.00 |
| 1033F |
|
939 |
872 |
$0.00 |
| 3077F |
|
305 |
289 |
$0.00 |
| 3062F |
|
332 |
298 |
$0.00 |
| 3050F |
|
103 |
94 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
29 |
29 |
$0.00 |
| 83525 |
|
12 |
12 |
$0.00 |