| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,914 |
5,859 |
$4.45M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
777 |
$572K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
337 |
$280K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
279 |
259 |
$81K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
120 |
$68K |
| 86580 |
|
71 |
68 |
$50K |
| 80053 |
Comprehensive metabolic panel |
574 |
536 |
$31K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
426 |
398 |
$31K |
| 86703 |
|
227 |
218 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
28 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
24 |
$18K |
| 71046 |
Radiologic examination, chest; 2 views |
282 |
144 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
755 |
692 |
$14K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
24 |
12 |
$13K |
| 92587 |
|
13 |
13 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
28 |
28 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
159 |
145 |
$4K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
19 |
12 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
12 |
$3K |
| 92567 |
|
46 |
44 |
$3K |
| 81001 |
|
382 |
353 |
$2K |
| 80061 |
Lipid panel |
133 |
125 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
464 |
439 |
$2K |
| 85018 |
|
152 |
151 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
61 |
61 |
$1K |
| 85027 |
|
14 |
13 |
$945.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
142 |
139 |
$808.00 |
| 92015 |
Determination of refractive state |
81 |
76 |
$808.00 |
| 86780 |
|
153 |
149 |
$0.00 |
| 87070 |
|
52 |
49 |
$0.00 |
| 92002 |
|
12 |
12 |
$0.00 |
| 87210 |
|
28 |
25 |
$0.00 |
| 99173 |
|
24 |
24 |
$0.00 |
| 81025 |
|
12 |
12 |
$0.00 |