| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,217 |
1,905 |
$1.34M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
699 |
690 |
$467K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
454 |
423 |
$281K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
173 |
167 |
$95K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
155 |
145 |
$91K |
| 90656 |
|
126 |
124 |
$46K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
63 |
59 |
$44K |
| V2020 |
Frames, purchases |
540 |
531 |
$34K |
| 91322 |
|
43 |
42 |
$22K |
| 36415 |
Collection of venous blood by venipuncture |
374 |
336 |
$20K |
| 92250 |
|
144 |
144 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
440 |
433 |
$14K |
| 90686 |
|
42 |
42 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
260 |
235 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$9K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
107 |
95 |
$7K |
| 81003 |
|
104 |
94 |
$6K |
| 92310 |
|
26 |
25 |
$5K |
| 80053 |
Comprehensive metabolic panel |
198 |
185 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
186 |
171 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
120 |
58 |
$4K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
153 |
135 |
$3K |
| 80061 |
Lipid panel |
43 |
40 |
$2K |
| 81025 |
|
12 |
12 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
38 |
$1K |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
29 |
24 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
160 |
158 |
$719.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
16 |
14 |
$719.00 |
| 80305 |
|
16 |
14 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
669 |
528 |
$0.00 |
| 2028F |
|
13 |
12 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
205 |
154 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
338 |
260 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
262 |
210 |
$0.00 |
| 90480 |
|
54 |
51 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
53 |
47 |
$0.00 |