| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,208 |
8,791 |
$799K |
| 99199 |
Unlisted special service, procedure or report |
77,961 |
46,017 |
$484K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,589 |
2,405 |
$147K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
506 |
67 |
$70K |
| 95923 |
|
673 |
457 |
$28K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
534 |
256 |
$22K |
| 86003 |
|
204 |
113 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
215 |
140 |
$19K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,945 |
949 |
$18K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
58 |
46 |
$14K |
| 93923 |
|
342 |
165 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
324 |
143 |
$11K |
| 99401 |
|
761 |
441 |
$11K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
637 |
279 |
$11K |
| 99215 |
Prolong outpt/office vis |
140 |
101 |
$10K |
| 93880 |
|
103 |
71 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
5,206 |
3,478 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
727 |
593 |
$8K |
| 92567 |
|
743 |
589 |
$7K |
| 95117 |
|
849 |
309 |
$7K |
| 78268 |
|
136 |
104 |
$7K |
| 87800 |
|
227 |
130 |
$6K |
| 99205 |
Prolong outpt/office vis |
45 |
29 |
$5K |
| 95921 |
|
188 |
109 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
405 |
165 |
$4K |
| 82947 |
|
1,899 |
1,316 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
348 |
281 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
27 |
$4K |
| 93000 |
|
423 |
303 |
$3K |
| 70210 |
|
200 |
143 |
$3K |
| 92546 |
|
92 |
45 |
$3K |
| 81003 |
|
1,650 |
1,087 |
$2K |
| 81025 |
|
403 |
244 |
$2K |
| 93970 |
|
27 |
14 |
$2K |
| 92551 |
|
2,312 |
1,261 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
263 |
201 |
$1K |
| 92540 |
|
34 |
32 |
$847.16 |
| 99407 |
|
56 |
39 |
$835.83 |
| 78267 |
|
137 |
104 |
$826.12 |
| 81002 |
|
338 |
234 |
$604.74 |
| 93922 |
|
14 |
12 |
$575.70 |
| 99173 |
|
2,404 |
1,300 |
$570.05 |
| 72050 |
|
15 |
12 |
$400.90 |
| 80305 |
|
43 |
32 |
$367.47 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
26 |
$345.81 |
| 99490 |
Ccm add 20min |
58 |
39 |
$302.29 |
| 92082 |
|
28 |
13 |
$213.91 |
| 99406 |
|
31 |
12 |
$152.87 |
| 90734 |
|
246 |
100 |
$147.77 |
| 95943 |
|
19 |
15 |
$144.96 |
| 92547 |
|
51 |
42 |
$72.10 |
| 92250 |
|
28 |
13 |
$53.68 |
| 90658 |
|
385 |
204 |
$11.87 |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
21 |
19 |
$10.20 |
| 3079F |
|
633 |
450 |
$0.26 |
| 3074F |
|
725 |
526 |
$0.18 |
| 3075F |
|
122 |
97 |
$0.11 |
| 3078F |
|
281 |
216 |
$0.06 |
| 3080F |
|
46 |
26 |
$0.05 |
| 3077F |
|
53 |
26 |
$0.02 |
| 90715 |
|
59 |
27 |
$0.01 |
| 90651 |
|
85 |
33 |
$0.01 |
| 90633 |
|
47 |
25 |
$0.00 |
| 1160F |
|
231 |
157 |
$0.00 |
| 90649 |
|
92 |
49 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
61 |
41 |
$0.00 |
| 4145F |
|
16 |
14 |
$0.00 |
| 90700 |
|
118 |
40 |
$0.00 |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
63 |
26 |
$0.00 |
| 3008F |
|
386 |
280 |
$0.00 |
| 90674 |
|
29 |
19 |
$0.00 |