| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,705 |
401 |
$617K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,541 |
5,302 |
$509K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,488 |
7,765 |
$496K |
| 99215 |
Prolong outpt/office vis |
1,863 |
1,803 |
$226K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,575 |
1,569 |
$162K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,104 |
1,082 |
$113K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,285 |
2,269 |
$106K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
4,877 |
4,815 |
$104K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
837 |
832 |
$83K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
257 |
253 |
$73K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
2,291 |
2,227 |
$65K |
| 99173 |
|
1,610 |
1,605 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,254 |
1,234 |
$49K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,142 |
3,129 |
$44K |
| 99443 |
|
275 |
246 |
$38K |
| 80061 |
Lipid panel |
2,617 |
2,547 |
$34K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,958 |
1,937 |
$30K |
| 84481 |
|
1,766 |
1,722 |
$29K |
| 92552 |
|
1,667 |
1,658 |
$27K |
| 80053 |
Comprehensive metabolic panel |
2,164 |
2,135 |
$24K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
2,454 |
2,381 |
$23K |
| 80050 |
General health panel |
430 |
428 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
195 |
195 |
$19K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
196 |
189 |
$17K |
| 84439 |
|
1,983 |
1,932 |
$17K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
499 |
482 |
$17K |
| 99072 |
|
432 |
395 |
$17K |
| 90838 |
|
134 |
129 |
$15K |
| 69210 |
|
333 |
328 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,956 |
1,928 |
$14K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
120 |
120 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
2,206 |
2,100 |
$11K |
| 99417 |
Prolong home eval add 15m |
422 |
414 |
$9K |
| 90674 |
|
461 |
455 |
$9K |
| 83721 |
|
980 |
968 |
$9K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
75 |
75 |
$7K |
| 99442 |
|
46 |
45 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
69 |
69 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
37 |
37 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
179 |
175 |
$4K |
| 82043 |
|
660 |
639 |
$4K |
| 99490 |
Ccm add 20min |
279 |
271 |
$3K |
| 82570 |
|
658 |
636 |
$3K |
| 99401 |
|
152 |
151 |
$3K |
| 96160 |
|
655 |
642 |
$3K |
| 99381 |
|
15 |
15 |
$2K |
| 97803 |
|
160 |
160 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| 82607 |
|
110 |
101 |
$2K |
| 90833 |
Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) |
22 |
20 |
$1K |
| 96161 |
|
256 |
252 |
$1K |
| 82670 |
|
40 |
39 |
$1K |
| 99354 |
|
13 |
12 |
$958.81 |
| 90836 |
|
12 |
12 |
$894.92 |
| 84403 |
|
28 |
28 |
$651.29 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
41 |
41 |
$594.85 |
| 90680 |
|
510 |
508 |
$474.29 |
| 99051 |
|
55 |
52 |
$342.82 |
| 90756 |
|
18 |
18 |
$330.43 |
| 85027 |
|
36 |
36 |
$277.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
20 |
20 |
$266.91 |
| 87807 |
|
15 |
13 |
$175.16 |
| 99188 |
|
31 |
31 |
$161.25 |
| 96127 |
|
26 |
26 |
$107.46 |
| 90686 |
|
881 |
879 |
$104.48 |
| 90648 |
|
614 |
611 |
$98.98 |
| 90633 |
|
370 |
368 |
$31.76 |
| 90700 |
|
25 |
24 |
$28.68 |
| 81002 |
|
14 |
13 |
$26.43 |
| 90670 |
|
987 |
982 |
$4.15 |
| 90688 |
|
255 |
254 |
$2.41 |
| 90687 |
|
200 |
200 |
$1.96 |
| 90723 |
|
210 |
209 |
$1.29 |
| 90698 |
|
41 |
41 |
$0.13 |
| 90651 |
|
25 |
25 |
$0.12 |
| 90716 |
|
26 |
26 |
$0.11 |
| 90707 |
|
26 |
26 |
$0.10 |
| 90710 |
|
38 |
38 |
$0.09 |
| 3074F |
|
892 |
846 |
$0.02 |
| 3008F |
|
792 |
719 |
$0.00 |
| 3079F |
|
278 |
262 |
$0.00 |
| 1126F |
|
15 |
14 |
$0.00 |
| 1170F |
|
26 |
24 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
15 |
15 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
13 |
12 |
$0.00 |
| 4010F |
|
18 |
12 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 1036F |
|
14 |
14 |
$0.00 |
| 1159F |
|
350 |
339 |
$0.00 |
| 1160F |
|
334 |
323 |
$0.00 |
| 3078F |
|
519 |
496 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
18 |
18 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
53 |
51 |
$0.00 |
| 1158F |
|
15 |
14 |
$0.00 |