| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
602,851 |
598,339 |
$3.13M |
| 59425 |
|
1,052 |
917 |
$452K |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
6,453 |
5,437 |
$305K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,624 |
6,349 |
$249K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,503 |
2,088 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,657 |
2,046 |
$146K |
| 99215 |
Prolong outpt/office vis |
769 |
731 |
$128K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
1,147 |
873 |
$128K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
8,102 |
6,483 |
$100K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,374 |
2,725 |
$75K |
| 59426 |
|
81 |
69 |
$70K |
| 99502 |
|
1,078 |
902 |
$59K |
| T1002 |
Rn services, up to 15 minutes |
1,894 |
1,367 |
$55K |
| 99501 |
|
1,106 |
866 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
834 |
636 |
$45K |
| 99385 |
|
307 |
228 |
$36K |
| 90715 |
|
1,737 |
1,441 |
$31K |
| 0001A |
|
655 |
534 |
$29K |
| 0002A |
|
561 |
469 |
$29K |
| 96127 |
|
6,011 |
4,658 |
$28K |
| 99383 |
|
341 |
269 |
$27K |
| 87210 |
|
5,774 |
4,395 |
$23K |
| 81025 |
|
3,514 |
2,822 |
$23K |
| 82120 |
|
5,622 |
4,270 |
$22K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
1,584 |
1,332 |
$21K |
| 90651 |
|
1,075 |
906 |
$19K |
| 85018 |
|
6,288 |
5,205 |
$18K |
| T1001 |
Nursing assessment / evaluation |
228 |
146 |
$17K |
| 0012A |
|
334 |
303 |
$15K |
| 36415 |
Collection of venous blood by venipuncture |
5,215 |
4,451 |
$14K |
| 87220 |
|
2,929 |
2,387 |
$12K |
| 90686 |
|
2,474 |
2,003 |
$12K |
| 81003 |
|
4,191 |
3,350 |
$10K |
| 82950 |
|
1,514 |
1,275 |
$9K |
| 0011A |
|
365 |
330 |
$9K |
| 59430 |
|
61 |
45 |
$7K |
| 99406 |
|
644 |
514 |
$7K |
| 83986 |
|
1,958 |
1,438 |
$6K |
| 90734 |
|
886 |
659 |
$6K |
| J7307 |
Etonogestrel (contraceptive) implant system, including implant and supplies |
23 |
12 |
$6K |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
31 |
26 |
$5K |
| 0071A |
|
119 |
70 |
$5K |
| 90674 |
|
260 |
176 |
$4K |
| 0004A |
|
92 |
59 |
$4K |
| 0072A |
|
83 |
54 |
$4K |
| 0031A |
|
67 |
64 |
$3K |
| 90480 |
|
62 |
54 |
$3K |
| 99384 |
|
31 |
27 |
$3K |
| 90716 |
|
17 |
13 |
$2K |
| 0064A |
|
42 |
29 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
129 |
97 |
$1K |
| 90656 |
|
205 |
188 |
$1K |
| 90688 |
|
154 |
115 |
$1K |
| 90620 |
|
127 |
99 |
$1K |
| 99459 |
|
75 |
68 |
$939.69 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
83 |
71 |
$834.14 |
| 90619 |
|
512 |
432 |
$651.28 |
| 96160 |
|
101 |
84 |
$331.57 |
| 90677 |
|
45 |
39 |
$268.63 |
| 92551 |
|
352 |
287 |
$235.32 |
| 87081 |
|
34 |
25 |
$231.98 |
| 90714 |
|
15 |
12 |
$178.16 |
| 90633 |
|
213 |
157 |
$96.42 |
| 81001 |
|
19 |
14 |
$42.61 |
| 99173 |
|
377 |
301 |
$20.54 |
| 0500F |
|
236 |
215 |
$0.04 |
| 91301 |
|
334 |
305 |
$0.00 |
| 0503F |
|
16 |
13 |
$0.00 |
| 90696 |
|
32 |
27 |
$0.00 |
| 91306 |
|
22 |
13 |
$0.00 |
| 0501F |
|
41 |
37 |
$0.00 |
| 91307 |
|
191 |
104 |
$0.00 |
| 91303 |
|
26 |
25 |
$0.00 |
| 0502F |
|
669 |
574 |
$0.00 |
| 91300 |
|
723 |
529 |
$0.00 |
| 90710 |
|
127 |
109 |
$0.00 |
| 90671 |
|
23 |
16 |
$0.00 |