| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,578 |
9,398 |
$513K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,899 |
8,743 |
$279K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
8,259 |
7,624 |
$242K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,782 |
1,780 |
$160K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,844 |
2,838 |
$141K |
| 99451 |
|
3,833 |
3,818 |
$86K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
1,146 |
1,144 |
$45K |
| 88312 |
|
969 |
917 |
$28K |
| 96910 |
|
75 |
13 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
394 |
385 |
$5K |
| 17110 |
|
99 |
97 |
$5K |
| 11900 |
|
225 |
220 |
$4K |
| 99442 |
|
173 |
171 |
$3K |
| 88342 |
|
118 |
116 |
$3K |
| 88304 |
|
216 |
212 |
$2K |
| 17999 |
|
28 |
28 |
$2K |
| 17311 |
|
14 |
14 |
$2K |
| 99443 |
|
64 |
63 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
76 |
$1K |
| 96127 |
|
106 |
105 |
$855.54 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
215 |
215 |
$827.57 |
| 11102 |
|
40 |
40 |
$818.68 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
68 |
66 |
$688.09 |
| 99221 |
|
12 |
12 |
$518.72 |
| 99201 |
|
12 |
12 |
$414.12 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$368.34 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
61 |
61 |
$353.40 |
| 11100 |
|
12 |
12 |
$333.00 |
| 85018 |
|
17 |
17 |
$30.26 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
23 |
23 |
$0.00 |
| 90661 |
|
51 |
48 |
$0.00 |
| 90633 |
|
15 |
14 |
$0.00 |
| 96160 |
|
12 |
12 |
$0.00 |
| 90656 |
|
17 |
17 |
$0.00 |
| 90697 |
|
33 |
31 |
$0.00 |
| 90677 |
|
56 |
52 |
$0.00 |
| 90680 |
|
32 |
30 |
$0.00 |