| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
77,969 |
76,538 |
$412K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,682 |
1,457 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
354 |
306 |
$41K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
392 |
364 |
$39K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,618 |
2,326 |
$36K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
633 |
566 |
$14K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
268 |
235 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
94 |
89 |
$8K |
| 96127 |
|
485 |
424 |
$6K |
| 92587 |
|
644 |
603 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
219 |
207 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
513 |
431 |
$1K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
153 |
129 |
$1K |
| 92551 |
|
352 |
319 |
$741.78 |
| 99173 |
|
1,604 |
1,446 |
$732.52 |
| 99442 |
|
15 |
13 |
$510.00 |
| 96160 |
|
429 |
387 |
$360.58 |
| 90715 |
|
50 |
45 |
$131.49 |
| 90688 |
|
318 |
310 |
$126.40 |
| 87210 |
|
13 |
13 |
$38.80 |
| 82120 |
|
13 |
13 |
$23.90 |
| 90686 |
|
902 |
781 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
197 |
189 |
$0.00 |
| 90619 |
|
90 |
78 |
$0.00 |
| 90651 |
|
93 |
89 |
$0.00 |
| 86592 |
|
24 |
24 |
$0.00 |
| 90656 |
|
61 |
60 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
12 |
12 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
198 |
190 |
$0.00 |
| 86703 |
|
12 |
12 |
$0.00 |
| 80061 |
Lipid panel |
32 |
27 |
$0.00 |
| 90734 |
|
105 |
90 |
$0.00 |