| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,704 |
8,003 |
$576K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,674 |
2,495 |
$264K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,741 |
1,713 |
$174K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,456 |
1,430 |
$160K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,484 |
1,465 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,526 |
5,403 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,199 |
1,182 |
$110K |
| G9153 |
Mapcp demonstration - physician incentive pool |
1,638 |
1,631 |
$60K |
| 90461 |
|
2,241 |
2,204 |
$44K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,328 |
1,164 |
$34K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,036 |
1,908 |
$30K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
109 |
28 |
$26K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
956 |
889 |
$8K |
| 96127 |
|
998 |
989 |
$7K |
| 99188 |
|
400 |
393 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
25 |
$6K |
| 99051 |
|
409 |
405 |
$5K |
| 99381 |
|
33 |
28 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
1,348 |
1,293 |
$3K |
| 83655 |
|
149 |
149 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
34 |
$2K |
| 81002 |
|
524 |
483 |
$2K |
| 99215 |
Prolong outpt/office vis |
12 |
12 |
$1K |
| 92551 |
|
169 |
144 |
$943.64 |
| 71046 |
Radiologic examination, chest; 2 views |
26 |
12 |
$560.70 |
| 87807 |
|
30 |
29 |
$379.05 |
| 86308 |
|
61 |
59 |
$354.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
2,727 |
2,717 |
$23.91 |
| 90658 |
|
344 |
337 |
$15.70 |
| 90686 |
|
45 |
40 |
$0.11 |
| 90734 |
|
51 |
50 |
$0.06 |
| 90670 |
|
248 |
245 |
$0.06 |
| 90715 |
|
12 |
12 |
$0.05 |
| 90744 |
|
54 |
51 |
$0.03 |
| 90633 |
|
95 |
90 |
$0.02 |
| 90649 |
|
38 |
37 |
$0.00 |
| 90698 |
|
26 |
26 |
$0.00 |