| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,869 |
2,531 |
$152K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,182 |
1,085 |
$118K |
| 99307 |
|
457 |
414 |
$13K |
| 99349 |
|
185 |
169 |
$11K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
489 |
460 |
$9K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
56 |
54 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
44 |
44 |
$4K |
| 80306 |
|
229 |
179 |
$3K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
95 |
76 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
29 |
29 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
129 |
127 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
819 |
742 |
$2K |
| 99490 |
Ccm add 20min |
24 |
24 |
$2K |
| 90686 |
|
223 |
211 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
73 |
68 |
$2K |
| 92551 |
|
225 |
224 |
$2K |
| 0002A |
|
53 |
53 |
$1K |
| 99336 |
|
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$1K |
| 0001A |
|
54 |
54 |
$941.65 |
| 80061 |
Lipid panel |
67 |
67 |
$913.21 |
| 96127 |
|
122 |
117 |
$811.93 |
| 85027 |
|
126 |
124 |
$779.46 |
| 99188 |
|
83 |
81 |
$762.64 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
25 |
25 |
$762.64 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
27 |
26 |
$723.12 |
| 80053 |
Comprehensive metabolic panel |
67 |
66 |
$688.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
18 |
18 |
$606.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
80 |
78 |
$542.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
28 |
$470.94 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
41 |
40 |
$353.01 |
| 99173 |
|
224 |
223 |
$345.75 |
| 82607 |
|
13 |
12 |
$168.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
13 |
13 |
$128.44 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$94.92 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
13 |
12 |
$67.75 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
156 |
146 |
$1.17 |
| X5622 |
|
52 |
52 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |