| Code | Description | Claims | Beneficiaries | Total Paid |
| 99199 |
Unlisted special service, procedure or report |
136,549 |
127,372 |
$459K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,609 |
3,283 |
$228K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,112 |
1,803 |
$100K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
506 |
421 |
$19K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
55 |
52 |
$6K |
| 99215 |
Prolong outpt/office vis |
87 |
74 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
259 |
237 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
244 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |
| 99205 |
Prolong outpt/office vis |
31 |
26 |
$2K |
| 96127 |
|
468 |
392 |
$2K |
| 90686 |
|
348 |
293 |
$2K |
| 90656 |
|
153 |
150 |
$1K |
| 93000 |
|
34 |
32 |
$242.59 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
24 |
24 |
$160.47 |
| 92551 |
|
93 |
81 |
$97.04 |
| 36415 |
Collection of venous blood by venipuncture |
44 |
39 |
$86.40 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
58 |
48 |
$81.74 |
| 99173 |
|
91 |
79 |
$75.43 |
| 3078F |
|
28 |
25 |
$0.00 |