| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,564 |
10,765 |
$791K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,488 |
6,112 |
$648K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,744 |
2,744 |
$246K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,063 |
2,063 |
$185K |
| 99215 |
Prolong outpt/office vis |
1,073 |
1,066 |
$164K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,834 |
1,828 |
$153K |
| 92587 |
|
4,448 |
4,403 |
$127K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,713 |
7,562 |
$101K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
997 |
997 |
$99K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
750 |
734 |
$32K |
| G0008 |
Administration of influenza virus vaccine |
766 |
764 |
$14K |
| 92567 |
|
754 |
750 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,408 |
3,406 |
$6K |
| 99051 |
|
475 |
467 |
$6K |
| 81002 |
|
3,142 |
3,137 |
$5K |
| 81000 |
|
817 |
788 |
$3K |
| 90461 |
|
1,506 |
1,501 |
$2K |
| 99173 |
|
3,852 |
3,850 |
$2K |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
175 |
172 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
46 |
44 |
$1K |
| 90677 |
|
335 |
335 |
$894.12 |
| 97803 |
|
4,715 |
4,531 |
$669.35 |
| 99421 |
|
37 |
36 |
$429.00 |
| 94760 |
|
12,300 |
11,380 |
$166.55 |
| 90686 |
|
2,549 |
2,542 |
$80.68 |
| 90688 |
|
146 |
145 |
$79.26 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,423 |
3,404 |
$34.01 |
| 80053 |
Comprehensive metabolic panel |
2,272 |
2,264 |
$22.55 |
| 99000 |
|
4,778 |
4,702 |
$15.00 |
| 90670 |
|
1,189 |
1,188 |
$0.00 |
| 90633 |
|
539 |
539 |
$0.00 |
| 90681 |
|
280 |
280 |
$0.00 |
| 90685 |
|
212 |
212 |
$0.00 |
| 90710 |
|
119 |
119 |
$0.00 |
| 90707 |
|
121 |
121 |
$0.00 |
| 90655 |
|
36 |
35 |
$0.00 |
| 90734 |
|
74 |
74 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99401 |
|
188 |
188 |
$0.00 |
| 90647 |
|
1,024 |
1,024 |
$0.00 |
| 90723 |
|
961 |
961 |
$0.00 |
| 90651 |
|
118 |
118 |
$0.00 |
| 90680 |
|
60 |
60 |
$0.00 |
| 90620 |
|
363 |
363 |
$0.00 |
| 90656 |
|
264 |
264 |
$0.00 |