| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,383 |
3,605 |
$2.81M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
652 |
589 |
$391K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
438 |
415 |
$94K |
| 86580 |
|
274 |
272 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
112 |
$65K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
56 |
56 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
44 |
$27K |
| 99173 |
|
162 |
148 |
$16K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
30 |
15 |
$15K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
61 |
61 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$9K |
| 80053 |
Comprehensive metabolic panel |
61 |
61 |
$7K |
| 92015 |
Determination of refractive state |
100 |
100 |
$2K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
15 |
14 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
170 |
155 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
36 |
33 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
61 |
61 |
$0.00 |
| 85018 |
|
16 |
16 |
$0.00 |
| 92551 |
|
99 |
96 |
$0.00 |
| 92002 |
|
21 |
21 |
$0.00 |
| 87070 |
|
47 |
45 |
$0.00 |
| 80061 |
Lipid panel |
56 |
56 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
46 |
$0.00 |