| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13,236 |
11,479 |
$736K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,989 |
3,743 |
$314K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
2,541 |
2,498 |
$207K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
2,081 |
2,042 |
$188K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,065 |
1,055 |
$85K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
353 |
352 |
$26K |
| 99443 |
|
428 |
428 |
$18K |
| 92588 |
|
848 |
837 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
164 |
163 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
82 |
80 |
$10K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
118 |
$9K |
| 99442 |
|
253 |
252 |
$8K |
| 36415 |
Collection of venous blood by venipuncture |
3,601 |
3,452 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
392 |
218 |
$5K |
| 90756 |
|
160 |
159 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
544 |
534 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
219 |
215 |
$3K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
229 |
223 |
$2K |
| 93000 |
|
232 |
232 |
$2K |
| 99000 |
|
1,349 |
1,300 |
$2K |
| 85027 |
|
426 |
421 |
$2K |
| 81002 |
|
742 |
715 |
$2K |
| G0008 |
Administration of influenza virus vaccine |
207 |
206 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 81025 |
|
206 |
204 |
$1K |
| 82947 |
|
555 |
545 |
$1K |
| 82565 |
|
341 |
333 |
$1K |
| 90674 |
|
44 |
44 |
$946.54 |
| 71046 |
Radiologic examination, chest; 2 views |
52 |
52 |
$797.28 |
| 92567 |
|
81 |
78 |
$648.58 |
| 84520 |
|
273 |
265 |
$628.59 |
| 99441 |
|
77 |
77 |
$610.14 |
| 84443 |
Thyroid stimulating hormone (TSH) |
71 |
68 |
$606.59 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
97 |
97 |
$606.46 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
73 |
73 |
$509.95 |
| 84450 |
|
157 |
150 |
$410.84 |
| 86580 |
|
45 |
41 |
$232.27 |
| 97802 |
|
1,020 |
991 |
$220.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
35 |
35 |
$54.08 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
473 |
461 |
$52.70 |
| 3078F |
|
4,886 |
4,439 |
$5.08 |
| 3074F |
|
5,568 |
4,934 |
$4.53 |
| 1034F |
|
4,070 |
3,528 |
$3.08 |
| 3075F |
|
1,958 |
1,839 |
$2.24 |
| 3079F |
|
3,043 |
2,818 |
$2.19 |
| 3077F |
|
1,035 |
969 |
$0.90 |
| 4000F |
|
1,866 |
1,710 |
$0.46 |
| 3080F |
|
653 |
623 |
$0.26 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
225 |
220 |
$0.16 |
| 1033F |
|
91 |
86 |
$0.08 |
| 90461 |
|
213 |
210 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 99072 |
|
64 |
61 |
$0.00 |
| 90633 |
|
16 |
16 |
$0.00 |
| 90707 |
|
14 |
14 |
$0.00 |
| 90649 |
|
16 |
15 |
$0.00 |
| 1036F |
|
5,851 |
5,059 |
$0.00 |
| 3354F |
|
157 |
147 |
$0.00 |
| 3352F |
|
634 |
620 |
$0.00 |
| 3044F |
|
200 |
196 |
$0.00 |
| 3351F |
|
462 |
454 |
$0.00 |
| 3353F |
|
922 |
906 |
$0.00 |
| 90686 |
|
38 |
37 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |