| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,187 |
2,008 |
$80K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,268 |
1,151 |
$77K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,380 |
1,340 |
$76K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
843 |
829 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
488 |
474 |
$30K |
| 92551 |
|
848 |
821 |
$25K |
| 90723 |
|
662 |
646 |
$17K |
| 99188 |
|
1,154 |
1,130 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
140 |
137 |
$13K |
| 83655 |
|
977 |
962 |
$11K |
| 90710 |
|
245 |
243 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
81 |
79 |
$5K |
| 90670 |
|
867 |
845 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
266 |
255 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
115 |
115 |
$4K |
| 69210 |
|
118 |
117 |
$3K |
| 90647 |
|
635 |
621 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
75 |
71 |
$3K |
| 85018 |
|
1,075 |
1,059 |
$2K |
| 99460 |
|
39 |
37 |
$2K |
| 90686 |
|
438 |
403 |
$2K |
| 90681 |
|
326 |
323 |
$2K |
| 90685 |
|
304 |
298 |
$2K |
| 90633 |
|
307 |
295 |
$2K |
| 90674 |
|
265 |
255 |
$1K |
| 99051 |
|
126 |
119 |
$1K |
| 80061 |
Lipid panel |
100 |
100 |
$1K |
| 90696 |
|
52 |
51 |
$1K |
| 0071A |
|
23 |
18 |
$720.00 |
| 0072A |
|
20 |
18 |
$720.00 |
| 0111A |
|
13 |
13 |
$520.00 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
17 |
17 |
$475.24 |
| 90672 |
|
82 |
82 |
$430.88 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
12 |
$349.78 |
| 81002 |
|
118 |
115 |
$317.11 |
| 95012 |
|
26 |
26 |
$308.10 |
| 90734 |
|
28 |
28 |
$142.50 |
| 90651 |
|
15 |
15 |
$80.17 |
| 99173 |
|
28 |
26 |
$33.84 |