| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,232 |
13,741 |
$1.24M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,194 |
5,838 |
$723K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,580 |
2,536 |
$233K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,098 |
2,098 |
$202K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,782 |
8,686 |
$162K |
| 92588 |
|
3,927 |
3,924 |
$153K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,355 |
1,355 |
$124K |
| 87631 |
|
822 |
790 |
$78K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
3,626 |
3,440 |
$75K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
642 |
642 |
$59K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
920 |
886 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,251 |
1,654 |
$40K |
| 99051 |
|
6,382 |
6,072 |
$36K |
| 96127 |
|
5,012 |
4,950 |
$35K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,646 |
6,555 |
$30K |
| 90677 |
|
286 |
286 |
$18K |
| 83655 |
|
1,588 |
1,583 |
$18K |
| 99215 |
Prolong outpt/office vis |
85 |
82 |
$16K |
| 90461 |
|
1,670 |
1,668 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,503 |
2,501 |
$8K |
| 96161 |
|
2,965 |
2,919 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
584 |
550 |
$5K |
| 92568 |
|
351 |
334 |
$5K |
| 90661 |
|
426 |
425 |
$4K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
16 |
16 |
$3K |
| 99174 |
|
1,611 |
1,611 |
$2K |
| 90686 |
|
1,891 |
1,884 |
$2K |
| 99050 |
|
425 |
425 |
$2K |
| 97802 |
|
356 |
356 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
2,166 |
2,144 |
$558.75 |
| 96160 |
|
1,671 |
1,669 |
$513.48 |
| 99000 |
|
4,959 |
4,830 |
$395.94 |
| 96380 |
|
12 |
12 |
$272.01 |
| 90670 |
|
684 |
684 |
$241.38 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
14 |
14 |
$177.06 |
| 99401 |
|
27 |
27 |
$131.79 |
| 90723 |
|
600 |
600 |
$75.69 |
| 36416 |
|
2,884 |
2,828 |
$3.64 |
| 91307 |
|
43 |
43 |
$0.10 |
| 90648 |
|
832 |
831 |
$0.00 |
| 90633 |
|
140 |
140 |
$0.00 |
| 90734 |
|
24 |
24 |
$0.00 |
| 90681 |
|
123 |
123 |
$0.00 |
| 90707 |
|
44 |
44 |
$0.00 |
| 92567 |
|
28 |
26 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90716 |
|
75 |
75 |
$0.00 |