| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,932 |
2,742 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,619 |
3,333 |
$92K |
| 90688 |
|
580 |
568 |
$14K |
| 90686 |
|
338 |
335 |
$9K |
| 92015 |
Determination of refractive state |
798 |
769 |
$7K |
| 90834 |
Psychotherapy, 45 minutes with patient |
72 |
53 |
$4K |
| 99000 |
|
920 |
814 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
357 |
309 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
65 |
65 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
28 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
40 |
38 |
$2K |
| 99443 |
|
55 |
48 |
$1K |
| 90672 |
|
22 |
22 |
$792.00 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$747.89 |
| 98941 |
Chiropractic manipulative treatment; spinal, 3-4 regions |
41 |
24 |
$704.04 |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
17 |
14 |
$615.16 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$453.14 |
| 99442 |
|
37 |
28 |
$450.86 |
| 98940 |
|
27 |
25 |
$433.97 |
| 90832 |
Psychotherapy, 30 minutes with patient |
13 |
12 |
$432.44 |
| 0001A |
|
12 |
12 |
$419.76 |
| 84460 |
|
42 |
38 |
$295.89 |
| 0011A |
|
17 |
17 |
$287.98 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
13 |
12 |
$137.97 |
| 87081 |
|
12 |
12 |
$109.70 |
| 36415 |
Collection of venous blood by venipuncture |
1,420 |
1,234 |
$8.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,339 |
1,312 |
$0.00 |
| 97802 |
|
57 |
52 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
95 |
94 |
$0.00 |
| 97803 |
|
25 |
25 |
$0.00 |
| 90473 |
|
22 |
22 |
$0.00 |
| 98968 |
|
20 |
12 |
$0.00 |