| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
11,834 |
6,227 |
$623K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
897 |
893 |
$74K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
418 |
417 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
449 |
443 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
270 |
267 |
$30K |
| 99205 |
Prolong outpt/office vis |
142 |
141 |
$19K |
| 99215 |
Prolong outpt/office vis |
205 |
205 |
$19K |
| Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory |
797 |
791 |
$18K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,003 |
979 |
$13K |
| 94060 |
|
381 |
374 |
$13K |
| 70220 |
|
565 |
556 |
$12K |
| 71045 |
Radiologic examination, chest; single view |
828 |
816 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
116 |
116 |
$9K |
| 87110 |
|
659 |
647 |
$7K |
| 99407 |
|
586 |
584 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
705 |
700 |
$7K |
| 36415 |
Collection of venous blood by venipuncture |
2,426 |
2,265 |
$6K |
| 93000 |
|
623 |
606 |
$6K |
| 93880 |
|
49 |
49 |
$5K |
| 82947 |
|
1,303 |
1,299 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
251 |
135 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
38 |
38 |
$3K |
| 86580 |
|
536 |
527 |
$3K |
| 71046 |
Radiologic examination, chest; 2 views |
146 |
142 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
18 |
18 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
20 |
20 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
73 |
69 |
$697.97 |
| 97802 |
|
451 |
447 |
$687.21 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$463.86 |
| 97804 |
|
718 |
715 |
$445.82 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
59 |
56 |
$410.27 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
25 |
24 |
$337.82 |
| 3077F |
|
1,114 |
1,109 |
$0.06 |
| 3011F |
|
1,034 |
1,031 |
$0.05 |
| 3074F |
|
905 |
900 |
$0.00 |
| 3080F |
|
61 |
61 |
$0.00 |