| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
763 |
607 |
$31K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
926 |
740 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
218 |
188 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
174 |
159 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,316 |
514 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
74 |
$6K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
83 |
82 |
$4K |
| 90461 |
|
1,149 |
302 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
85 |
79 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
548 |
443 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
36 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
273 |
189 |
$2K |
| 95117 |
|
303 |
111 |
$2K |
| 99429 |
|
58 |
51 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
54 |
51 |
$1K |
| 95115 |
|
214 |
75 |
$740.76 |
| 92551 |
|
147 |
139 |
$572.84 |
| 99335 |
|
49 |
49 |
$562.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
63 |
61 |
$527.29 |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
42 |
38 |
$426.00 |
| 87999 |
|
379 |
241 |
$111.20 |
| 99334 |
|
58 |
58 |
$84.46 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
67 |
67 |
$30.70 |
| 81000 |
|
99 |
84 |
$20.28 |
| 82607 |
|
67 |
67 |
$15.63 |
| 96160 |
|
21 |
18 |
$11.85 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
68 |
68 |
$10.07 |
| 80061 |
Lipid panel |
69 |
69 |
$7.66 |
| 90670 |
|
120 |
115 |
$0.00 |
| 90672 |
|
42 |
40 |
$0.00 |
| 99173 |
|
30 |
29 |
$0.00 |
| 96127 |
|
96 |
91 |
$0.00 |
| 90723 |
|
56 |
54 |
$0.00 |
| 90680 |
|
37 |
37 |
$0.00 |
| 90686 |
|
29 |
26 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
69 |
68 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
67 |
67 |
$0.00 |
| 84436 |
|
34 |
34 |
$0.00 |
| 90647 |
|
26 |
25 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
61 |
61 |
$0.00 |
| 84479 |
|
33 |
33 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
70 |
69 |
$0.00 |