| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16,018 |
14,153 |
$1.07M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,438 |
7,038 |
$698K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,874 |
2,844 |
$260K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,835 |
2,814 |
$251K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,262 |
2,234 |
$216K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,503 |
2,396 |
$209K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
9,413 |
9,170 |
$65K |
| 99499 |
|
2,114 |
2,078 |
$56K |
| 99429 |
|
1,756 |
1,725 |
$46K |
| 90686 |
|
3,072 |
3,025 |
$45K |
| 92551 |
|
6,515 |
6,401 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,689 |
2,465 |
$38K |
| D0120 |
Periodic oral evaluation - established patient |
1,210 |
1,194 |
$31K |
| D9999 |
Unspecified adjunctive procedure, by report |
1,199 |
1,183 |
$28K |
| 90698 |
|
2,018 |
1,952 |
$28K |
| 81000 |
|
7,814 |
7,465 |
$26K |
| 90670 |
|
1,673 |
1,610 |
$22K |
| 87428 |
|
375 |
353 |
$20K |
| 97802 |
|
1,126 |
1,103 |
$19K |
| 99215 |
Prolong outpt/office vis |
103 |
98 |
$15K |
| 80061 |
Lipid panel |
1,180 |
1,163 |
$13K |
| 90633 |
|
884 |
868 |
$13K |
| 90744 |
|
835 |
805 |
$12K |
| 90710 |
|
840 |
825 |
$11K |
| 83655 |
|
1,077 |
1,055 |
$11K |
| 90734 |
|
725 |
714 |
$10K |
| 99173 |
|
6,601 |
6,503 |
$10K |
| 90651 |
|
720 |
717 |
$10K |
| 90688 |
|
743 |
733 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
461 |
451 |
$10K |
| D1206 |
Topical application of fluoride varnish |
633 |
616 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
281 |
269 |
$7K |
| 17110 |
|
91 |
77 |
$6K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
205 |
200 |
$5K |
| 90681 |
|
398 |
378 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
113 |
108 |
$5K |
| 90671 |
|
204 |
200 |
$4K |
| 99188 |
|
334 |
331 |
$4K |
| A4627 |
Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
142 |
141 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
276 |
259 |
$3K |
| 90696 |
|
175 |
173 |
$2K |
| 90715 |
|
198 |
197 |
$2K |
| 90656 |
|
226 |
225 |
$2K |
| 90620 |
|
120 |
119 |
$2K |
| 90685 |
|
119 |
114 |
$2K |
| 94664 |
|
245 |
242 |
$1K |
| 90677 |
|
122 |
118 |
$1K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
132 |
52 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$939.43 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$684.80 |
| 90680 |
|
40 |
40 |
$257.04 |
| 96127 |
|
41 |
41 |
$175.54 |
| 95115 |
|
31 |
12 |
$171.68 |
| A7003 |
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable |
279 |
263 |
$170.52 |
| 94010 |
|
12 |
12 |
$149.94 |
| 95012 |
|
12 |
12 |
$122.33 |
| 90619 |
|
13 |
13 |
$35.62 |
| 94760 |
|
37 |
35 |
$28.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
117 |
115 |
$21.63 |
| 99072 |
|
65 |
63 |
$0.00 |