| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,385 |
9,911 |
$3.03M |
| 99441 |
|
2,619 |
2,275 |
$669K |
| 99442 |
|
2,373 |
2,163 |
$624K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,537 |
1,371 |
$405K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,074 |
1,010 |
$270K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
717 |
711 |
$196K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
351 |
347 |
$89K |
| 99201 |
|
36 |
35 |
$9K |
| 99401 |
|
31 |
26 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$4K |
| 99443 |
|
14 |
13 |
$4K |
| 91306 |
|
18 |
18 |
$265.70 |
| 80061 |
Lipid panel |
677 |
664 |
$0.00 |
| 81002 |
|
79 |
79 |
$0.00 |
| 99173 |
|
200 |
168 |
$0.00 |
| 84481 |
|
230 |
229 |
$0.00 |
| 83540 |
|
72 |
72 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
84 |
84 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
175 |
160 |
$0.00 |
| 84439 |
|
235 |
234 |
$0.00 |
| 83013 |
|
117 |
114 |
$0.00 |
| 87501 |
|
168 |
163 |
$0.00 |
| X5622 |
|
34 |
17 |
$0.00 |
| 91300 |
|
35 |
32 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$0.00 |
| 90661 |
|
13 |
13 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
262 |
260 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
788 |
721 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
728 |
721 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
893 |
888 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,027 |
1,000 |
$0.00 |
| 0064A |
|
18 |
18 |
$0.00 |
| 96127 |
|
1,679 |
1,488 |
$0.00 |
| 90686 |
|
151 |
135 |
$0.00 |
| 90688 |
|
18 |
17 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
420 |
416 |
$0.00 |
| 90716 |
|
15 |
15 |
$0.00 |
| 0011A |
|
86 |
84 |
$0.00 |
| 82728 |
|
71 |
71 |
$0.00 |
| 92551 |
|
247 |
213 |
$0.00 |
| 86769 |
|
230 |
225 |
$0.00 |
| 85027 |
|
475 |
473 |
$0.00 |
| 0001A |
|
15 |
15 |
$0.00 |
| 0012A |
|
79 |
62 |
$0.00 |
| 87430 |
|
136 |
130 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
188 |
143 |
$0.00 |
| 83550 |
|
72 |
72 |
$0.00 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
33 |
30 |
$0.00 |
| 91301 |
|
120 |
111 |
$0.00 |