| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
21,848 |
20,587 |
$139K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
376 |
301 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
174 |
155 |
$18K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,258 |
1,065 |
$16K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
252 |
222 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
171 |
145 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
203 |
193 |
$2K |
| 96127 |
|
307 |
286 |
$1K |
| 97802 |
|
14 |
12 |
$661.77 |
| 81025 |
|
103 |
92 |
$640.32 |
| 36415 |
Collection of venous blood by venipuncture |
234 |
202 |
$540.18 |
| 96161 |
|
189 |
168 |
$513.26 |
| 90651 |
|
14 |
12 |
$446.00 |
| 90686 |
|
500 |
418 |
$187.55 |
| 90619 |
|
72 |
55 |
$125.00 |
| 90688 |
|
22 |
21 |
$63.20 |
| 87210 |
|
16 |
15 |
$58.20 |
| 82120 |
|
16 |
15 |
$38.24 |
| 85018 |
|
32 |
26 |
$30.10 |
| 99173 |
|
78 |
62 |
$1.00 |
| 92587 |
|
66 |
60 |
$1.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
208 |
184 |
$0.00 |
| 86703 |
|
14 |
13 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
208 |
184 |
$0.00 |
| 99000 |
|
704 |
609 |
$0.00 |
| 86592 |
|
47 |
41 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
33 |
28 |
$0.00 |