| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,895 |
6,414 |
$576K |
| 99199 |
Unlisted special service, procedure or report |
47,094 |
29,940 |
$257K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,107 |
289 |
$225K |
| 86003 |
|
1,219 |
1,050 |
$223K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,526 |
2,920 |
$190K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
8,185 |
6,970 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
691 |
588 |
$62K |
| 71046 |
Radiologic examination, chest; 2 views |
3,514 |
2,946 |
$59K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
581 |
477 |
$54K |
| 84443 |
Thyroid stimulating hormone (TSH) |
2,784 |
2,480 |
$41K |
| 80047 |
|
1,577 |
1,459 |
$39K |
| 93000 |
|
3,288 |
2,797 |
$34K |
| 78268 |
|
462 |
426 |
$32K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,870 |
1,369 |
$29K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,020 |
863 |
$24K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
623 |
490 |
$23K |
| 99215 |
Prolong outpt/office vis |
255 |
202 |
$19K |
| 36415 |
Collection of venous blood by venipuncture |
8,419 |
7,184 |
$19K |
| 87430 |
|
1,436 |
1,301 |
$18K |
| 87800 |
|
403 |
370 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,152 |
1,831 |
$17K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
495 |
384 |
$17K |
| 95117 |
|
1,853 |
698 |
$16K |
| 99354 |
|
467 |
263 |
$15K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,018 |
434 |
$13K |
| 83880 |
|
366 |
326 |
$12K |
| 81003 |
|
5,231 |
4,339 |
$10K |
| 74018 |
|
563 |
504 |
$10K |
| 96127 |
|
2,613 |
2,163 |
$10K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
50 |
38 |
$9K |
| 70150 |
|
350 |
318 |
$9K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
848 |
743 |
$6K |
| 72100 |
|
304 |
248 |
$6K |
| 70140 |
|
297 |
275 |
$5K |
| 81025 |
|
657 |
549 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
356 |
266 |
$4K |
| 92551 |
|
2,250 |
1,929 |
$4K |
| 83874 |
|
354 |
313 |
$4K |
| 99406 |
|
515 |
414 |
$4K |
| 82553 |
|
355 |
313 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
30 |
24 |
$4K |
| 78267 |
|
463 |
425 |
$4K |
| 82948 |
|
1,569 |
1,273 |
$4K |
| 84484 |
|
354 |
313 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
56 |
42 |
$3K |
| 82947 |
|
1,201 |
957 |
$3K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
31 |
26 |
$3K |
| 85379 |
|
341 |
300 |
$3K |
| 99384 |
|
20 |
13 |
$2K |
| 93306 |
Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete |
21 |
19 |
$2K |
| 93224 |
|
29 |
27 |
$2K |
| 71045 |
Radiologic examination, chest; single view |
105 |
102 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
92 |
67 |
$970.46 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
38 |
34 |
$919.90 |
| 72050 |
|
28 |
25 |
$854.01 |
| 92567 |
|
65 |
60 |
$780.31 |
| 94060 |
|
14 |
13 |
$487.35 |
| 73503 |
|
20 |
15 |
$366.11 |
| 96132 |
|
20 |
13 |
$289.54 |
| 90674 |
|
14 |
14 |
$288.55 |
| 90686 |
|
400 |
301 |
$246.50 |
| 83655 |
|
18 |
13 |
$194.09 |
| 99497 |
|
15 |
14 |
$84.12 |
| 99172 |
|
1,978 |
1,752 |
$12.00 |
| G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination |
719 |
636 |
$0.99 |
| 90734 |
|
128 |
99 |
$0.00 |
| 90649 |
|
192 |
161 |
$0.00 |
| 90700 |
|
31 |
25 |
$0.00 |
| 90633 |
|
32 |
30 |
$0.00 |
| 90715 |
|
21 |
14 |
$0.00 |
| 93225 |
|
14 |
14 |
$0.00 |
| 90621 |
|
23 |
13 |
$0.00 |
| 99000 |
|
5,702 |
5,040 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
27 |
27 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
19 |
19 |
$0.00 |
| 90716 |
|
16 |
12 |
$0.00 |
| 71020 |
|
25 |
23 |
$0.00 |
| 87081 |
|
28 |
26 |
$0.00 |