| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35,236 |
27,801 |
$296K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
22,884 |
20,850 |
$275K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,920 |
4,593 |
$227K |
| G0433 |
Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening |
26,177 |
21,310 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,831 |
6,311 |
$218K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
14,395 |
13,345 |
$202K |
| 86780 |
|
19,513 |
17,662 |
$187K |
| 86318 |
|
19,697 |
17,122 |
$184K |
| T1001 |
Nursing assessment / evaluation |
13,539 |
11,193 |
$180K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,062 |
1,914 |
$148K |
| 81025 |
|
23,156 |
20,382 |
$107K |
| 86701 |
|
14,354 |
13,280 |
$98K |
| 86803 |
|
6,214 |
5,557 |
$58K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,078 |
2,833 |
$57K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
805 |
718 |
$36K |
| 90651 |
|
3,755 |
3,599 |
$32K |
| 90791 |
Psychiatric diagnostic evaluation |
707 |
606 |
$29K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
805 |
713 |
$23K |
| 87210 |
|
3,775 |
3,428 |
$11K |
| 90688 |
|
1,185 |
1,004 |
$11K |
| 90716 |
|
1,356 |
1,264 |
$10K |
| 90474 |
|
758 |
728 |
$6K |
| 90739 |
|
282 |
256 |
$6K |
| 90715 |
|
3,537 |
3,405 |
$5K |
| 90707 |
|
1,228 |
1,156 |
$5K |
| 11981 |
|
70 |
67 |
$5K |
| 90619 |
|
4,778 |
4,579 |
$4K |
| S9470 |
Nutritional counseling, dietitian visit |
195 |
189 |
$3K |
| 0124A |
|
85 |
70 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
197 |
172 |
$2K |
| 0134A |
|
169 |
152 |
$2K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
104 |
84 |
$2K |
| 90480 |
|
251 |
204 |
$1K |
| 90677 |
|
857 |
799 |
$1K |
| 90658 |
|
252 |
242 |
$1K |
| 11982 |
|
12 |
12 |
$1K |
| 90734 |
|
226 |
223 |
$738.70 |
| 0052A |
|
28 |
17 |
$631.04 |
| 0051A |
|
18 |
13 |
$394.40 |
| 90473 |
|
387 |
313 |
$260.75 |
| S4993 |
Contraceptive pills for birth control |
154 |
142 |
$228.89 |
| 93000 |
|
14 |
13 |
$181.08 |
| V5266 |
Battery for use in hearing device |
12 |
12 |
$135.72 |
| 90713 |
|
353 |
340 |
$46.62 |
| 84450 |
|
87 |
85 |
$46.35 |
| A4267 |
Contraceptive supply, condom, male, each |
2,004 |
1,663 |
$31.70 |
| 81002 |
|
14 |
14 |
$24.37 |
| 90633 |
|
5,557 |
5,332 |
$0.03 |
| 90647 |
|
198 |
187 |
$0.00 |
| 90686 |
|
453 |
428 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
91 |
91 |
$0.00 |
| 90680 |
|
858 |
736 |
$0.00 |
| 90697 |
|
1,890 |
1,722 |
$0.00 |
| 90696 |
|
1,348 |
1,323 |
$0.00 |
| 90620 |
|
1,280 |
1,218 |
$0.00 |
| 90723 |
|
60 |
57 |
$0.00 |
| 90698 |
|
209 |
192 |
$0.00 |
| 91305 |
|
137 |
117 |
$0.00 |
| 90744 |
|
42 |
40 |
$0.00 |
| 90656 |
|
78 |
74 |
$0.00 |
| 94760 |
|
26 |
14 |
$0.00 |
| 90674 |
|
15 |
14 |
$0.00 |
| 90710 |
|
2,573 |
2,499 |
$0.00 |
| 90700 |
|
1,057 |
1,019 |
$0.00 |
| 90672 |
|
56 |
35 |
$0.00 |
| 90671 |
|
1,217 |
1,073 |
$0.00 |
| 91312 |
|
71 |
65 |
$0.00 |
| 90670 |
|
722 |
662 |
$0.00 |
| 91322 |
|
96 |
90 |
$0.00 |
| 91313 |
|
90 |
87 |
$0.00 |
| 90648 |
|
25 |
24 |
$0.00 |