| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
94 |
94 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
882 |
865 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,146 |
3,702 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,791 |
1,762 |
$289.63 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
514 |
495 |
$0.00 |
| 90700 |
|
1,152 |
1,134 |
$0.00 |
| 90715 |
|
248 |
244 |
$0.00 |
| 90707 |
|
507 |
500 |
$0.00 |
| 90670 |
|
867 |
857 |
$0.00 |
| 81002 |
|
286 |
279 |
$0.00 |
| 83655 |
|
602 |
597 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,037 |
1,022 |
$0.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,655 |
1,627 |
$0.00 |
| 3725F |
|
604 |
589 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,798 |
2,735 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
796 |
775 |
$0.00 |
| 90648 |
|
906 |
896 |
$0.00 |
| 83525 |
|
46 |
46 |
$0.00 |
| 90681 |
|
282 |
279 |
$0.00 |
| 90633 |
|
531 |
522 |
$0.00 |
| 80061 |
Lipid panel |
211 |
210 |
$0.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
25 |
25 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
144 |
136 |
$0.00 |
| 90461 |
|
1,493 |
1,475 |
$0.00 |
| 90713 |
|
841 |
827 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
142 |
141 |
$0.00 |
| 90621 |
|
268 |
260 |
$0.00 |
| 84439 |
|
101 |
99 |
$0.00 |
| 90734 |
|
399 |
388 |
$0.00 |
| 97803 |
|
346 |
338 |
$0.00 |
| 90685 |
|
393 |
367 |
$0.00 |
| 99173 |
|
155 |
152 |
$0.00 |
| 3352F |
|
197 |
195 |
$0.00 |
| 92551 |
|
165 |
164 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
267 |
264 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
231 |
224 |
$0.00 |
| 97802 |
|
1,104 |
1,092 |
$0.00 |
| 90688 |
|
551 |
517 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
385 |
364 |
$0.00 |
| 36416 |
|
185 |
185 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
843 |
820 |
$0.00 |
| 90744 |
|
593 |
580 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
163 |
162 |
$0.00 |
| 90716 |
|
517 |
510 |
$0.00 |
| 85018 |
|
508 |
501 |
$0.00 |
| 90651 |
|
599 |
578 |
$0.00 |
| 94760 |
|
33 |
29 |
$0.00 |
| 86580 |
|
38 |
37 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
356 |
350 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
189 |
189 |
$0.00 |
| 3353F |
|
133 |
130 |
$0.00 |
| 82746 |
|
54 |
54 |
$0.00 |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
142 |
141 |
$0.00 |
| 82607 |
|
54 |
54 |
$0.00 |
| 3351F |
|
244 |
237 |
$0.00 |
| 3008F |
|
1,469 |
1,446 |
$0.00 |
| 99383 |
|
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
36 |
32 |
$0.00 |
| 85652 |
|
30 |
30 |
$0.00 |
| 87081 |
|
18 |
18 |
$0.00 |