| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,953 |
8,087 |
$652K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,517 |
3,406 |
$354K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
872 |
637 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
930 |
930 |
$85K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
589 |
589 |
$54K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
593 |
553 |
$49K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
431 |
431 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,301 |
2,301 |
$43K |
| 95117 |
|
2,793 |
1,139 |
$29K |
| 94060 |
|
655 |
649 |
$27K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
419 |
419 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
123 |
$18K |
| 94010 |
|
657 |
652 |
$17K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
135 |
135 |
$13K |
| 99205 |
Prolong outpt/office vis |
62 |
62 |
$13K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
66 |
64 |
$12K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
417 |
417 |
$10K |
| 94729 |
|
216 |
216 |
$9K |
| 94726 |
|
216 |
216 |
$9K |
| 71046 |
Radiologic examination, chest; 2 views |
258 |
256 |
$7K |
| 87428 |
|
202 |
196 |
$7K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
63 |
63 |
$5K |
| 73630 |
|
163 |
159 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
776 |
719 |
$3K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
27 |
27 |
$3K |
| 93000 |
|
221 |
219 |
$3K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
350 |
350 |
$3K |
| 95024 |
|
24 |
24 |
$2K |
| 11721 |
|
85 |
85 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
54 |
52 |
$2K |
| 80053 |
Comprehensive metabolic panel |
211 |
206 |
$2K |
| 90461 |
|
543 |
543 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
219 |
219 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
461 |
452 |
$1K |
| 76830 |
Ultrasound, transvaginal |
13 |
13 |
$1K |
| 84443 |
Thyroid stimulating hormone (TSH) |
121 |
119 |
$1K |
| 82607 |
|
59 |
57 |
$642.74 |
| 95012 |
|
42 |
41 |
$535.36 |
| 80061 |
Lipid panel |
95 |
92 |
$528.17 |
| 90686 |
|
393 |
393 |
$492.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
38 |
38 |
$465.48 |
| 74018 |
|
12 |
12 |
$307.56 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
12 |
12 |
$198.22 |
| 89190 |
|
42 |
41 |
$175.95 |
| 36415 |
Collection of venous blood by venipuncture |
1,190 |
1,116 |
$160.27 |
| 81001 |
|
42 |
40 |
$137.64 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
12 |
12 |
$103.09 |
| 94760 |
|
446 |
440 |
$49.87 |
| 81002 |
|
26 |
26 |
$46.40 |
| 81025 |
|
13 |
13 |
$26.26 |
| 90656 |
|
55 |
55 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |
| 90651 |
|
12 |
12 |
$0.00 |
| 90648 |
|
80 |
80 |
$0.00 |
| 90670 |
|
57 |
57 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |