| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,062 |
1,911 |
$138K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,492 |
2,276 |
$86K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
658 |
617 |
$35K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
668 |
629 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
476 |
463 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
325 |
315 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,234 |
1,157 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
283 |
270 |
$15K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
487 |
453 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,164 |
1,062 |
$11K |
| 80061 |
Lipid panel |
557 |
525 |
$9K |
| 87081 |
|
1,035 |
972 |
$9K |
| 83655 |
|
431 |
415 |
$7K |
| 80053 |
Comprehensive metabolic panel |
472 |
444 |
$6K |
| 90670 |
|
435 |
426 |
$4K |
| 90686 |
|
307 |
296 |
$3K |
| 90698 |
|
293 |
284 |
$3K |
| 90680 |
|
277 |
269 |
$2K |
| 90651 |
|
237 |
228 |
$2K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
161 |
$2K |
| 90688 |
|
175 |
172 |
$2K |
| 81001 |
|
391 |
370 |
$2K |
| 90633 |
|
146 |
142 |
$1K |
| 90734 |
|
137 |
133 |
$1K |
| 90715 |
|
135 |
132 |
$1K |
| 90716 |
|
126 |
122 |
$1K |
| 90707 |
|
112 |
110 |
$1K |
| 90744 |
|
103 |
97 |
$917.76 |
| 80050 |
General health panel |
14 |
13 |
$584.04 |
| 87807 |
|
42 |
37 |
$458.36 |
| 90685 |
|
50 |
46 |
$439.76 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
28 |
25 |
$368.16 |
| 90621 |
|
35 |
32 |
$296.36 |
| 90648 |
|
27 |
26 |
$248.56 |
| 84439 |
|
15 |
14 |
$154.56 |
| 81003 |
|
724 |
655 |
$128.00 |
| 90620 |
|
13 |
13 |
$105.16 |