| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99205 |
Prolong outpt/office vis |
804 |
793 |
$101K |
| 99215 |
Prolong outpt/office vis |
575 |
569 |
$59K |
| 92283 |
|
772 |
647 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
747 |
609 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
260 |
222 |
$8K |
| 92551 |
|
846 |
840 |
$8K |
| 99385 |
|
69 |
69 |
$7K |
| 96127 |
|
1,837 |
1,414 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
181 |
179 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
378 |
318 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
430 |
$5K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
509 |
464 |
$3K |
| 97750 |
|
612 |
483 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
375 |
361 |
$2K |
| 97802 |
|
888 |
707 |
$2K |
| 96160 |
|
990 |
907 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
455 |
362 |
$2K |
| 96161 |
|
759 |
688 |
$1K |
| 99173 |
|
1,233 |
1,064 |
$999.49 |
| 99383 |
|
14 |
13 |
$916.20 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
96 |
77 |
$912.63 |
| 86580 |
|
79 |
79 |
$710.15 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
455 |
349 |
$597.66 |
| 0064A |
|
17 |
12 |
$455.00 |
| 94760 |
|
880 |
732 |
$333.99 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
14 |
14 |
$307.86 |
| 99188 |
|
45 |
41 |
$276.76 |
| 99000 |
|
66 |
41 |
$0.00 |
| 0051A |
|
18 |
17 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
31 |
21 |
$0.00 |
| 90710 |
|
25 |
16 |
$0.00 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
18 |
12 |
$0.00 |
| 0071A |
|
12 |
12 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
28 |
17 |
$0.00 |