| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99000 |
|
5,472 |
4,256 |
$73K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,174 |
1,009 |
$49K |
| 36415 |
Collection of venous blood by venipuncture |
4,212 |
3,272 |
$13K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
468 |
459 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
347 |
320 |
$11K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
149 |
123 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
66 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
91 |
$3K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
232 |
232 |
$2K |
| 76818 |
|
26 |
12 |
$2K |
| 96127 |
|
457 |
337 |
$2K |
| 76801 |
|
14 |
13 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
40 |
33 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$924.11 |
| 76820 |
|
26 |
12 |
$778.88 |
| 84144 |
|
36 |
26 |
$726.51 |
| 92551 |
|
104 |
103 |
$612.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
72 |
65 |
$546.91 |
| 84443 |
Thyroid stimulating hormone (TSH) |
17 |
17 |
$264.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
25 |
$203.16 |
| V5008 |
Hearing screening |
25 |
24 |
$180.97 |
| 82728 |
|
12 |
12 |
$157.77 |
| 80053 |
Comprehensive metabolic panel |
14 |
14 |
$135.68 |
| 80061 |
Lipid panel |
15 |
14 |
$133.52 |
| 99173 |
|
82 |
81 |
$101.41 |
| 85018 |
|
30 |
25 |
$33.74 |
| X5622 |
|
222 |
221 |
$0.00 |