| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17,654 |
16,425 |
$1.22M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,740 |
6,549 |
$684K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,321 |
1,003 |
$179K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,668 |
1,667 |
$166K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,747 |
1,602 |
$160K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,437 |
1,437 |
$142K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,849 |
4,846 |
$80K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
657 |
657 |
$70K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
456 |
456 |
$50K |
| 94010 |
|
1,815 |
1,796 |
$46K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,004 |
969 |
$44K |
| 95117 |
|
4,461 |
1,980 |
$43K |
| 87428 |
|
515 |
494 |
$38K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
423 |
403 |
$19K |
| 95012 |
|
1,300 |
1,265 |
$18K |
| 99205 |
Prolong outpt/office vis |
86 |
86 |
$18K |
| 94060 |
|
368 |
365 |
$16K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
96 |
96 |
$16K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
153 |
148 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
91 |
90 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
69 |
69 |
$13K |
| 80053 |
Comprehensive metabolic panel |
1,289 |
1,269 |
$13K |
| G9007 |
Coordinated care fee, scheduled team conference |
121 |
121 |
$12K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
105 |
105 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,826 |
2,706 |
$9K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
172 |
64 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
953 |
946 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
219 |
216 |
$6K |
| 95886 |
|
52 |
52 |
$5K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
569 |
566 |
$5K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
38 |
38 |
$4K |
| 11721 |
|
142 |
142 |
$4K |
| 82728 |
|
284 |
279 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
87 |
87 |
$4K |
| 90686 |
|
1,725 |
1,721 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
713 |
684 |
$3K |
| 93000 |
|
207 |
205 |
$3K |
| 82607 |
|
218 |
218 |
$3K |
| 84443 |
Thyroid stimulating hormone (TSH) |
292 |
291 |
$3K |
| 95024 |
|
27 |
27 |
$3K |
| 95816 |
|
12 |
12 |
$2K |
| 83615 |
|
391 |
381 |
$2K |
| 94729 |
|
55 |
55 |
$2K |
| 94726 |
|
55 |
55 |
$2K |
| 80061 |
Lipid panel |
266 |
266 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
54 |
54 |
$1K |
| 84702 |
|
84 |
75 |
$1K |
| 99443 |
|
12 |
12 |
$851.95 |
| 99442 |
|
13 |
13 |
$677.89 |
| 94760 |
|
547 |
531 |
$426.11 |
| 81002 |
|
194 |
191 |
$392.84 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$276.64 |
| 85651 |
|
155 |
154 |
$260.00 |
| 82746 |
|
25 |
25 |
$250.00 |
| 89190 |
|
50 |
50 |
$231.90 |
| 36415 |
Collection of venous blood by venipuncture |
4,244 |
3,917 |
$224.28 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$177.76 |
| 85045 |
|
53 |
53 |
$168.01 |
| 92551 |
|
26 |
26 |
$166.84 |
| 92552 |
|
12 |
12 |
$164.40 |
| 84439 |
|
14 |
14 |
$127.26 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
12 |
12 |
$92.44 |
| 82550 |
|
13 |
13 |
$65.39 |
| 81001 |
|
14 |
13 |
$45.13 |
| 82962 |
|
31 |
31 |
$21.55 |
| 99173 |
|
12 |
12 |
$11.05 |
| 90648 |
|
777 |
773 |
$0.00 |
| 90670 |
|
811 |
808 |
$0.00 |
| 90633 |
|
37 |
37 |
$0.00 |
| 90461 |
|
322 |
321 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 90715 |
|
12 |
12 |
$0.00 |
| 90723 |
|
313 |
313 |
$0.00 |
| 90680 |
|
288 |
288 |
$0.00 |
| 90651 |
|
29 |
29 |
$0.00 |
| 99024 |
|
46 |
40 |
$0.00 |