| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
16,483 |
14,341 |
$748K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,072 |
7,024 |
$231K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
670 |
663 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
430 |
426 |
$37K |
| 11721 |
|
3,185 |
3,036 |
$23K |
| 84443 |
Thyroid stimulating hormone (TSH) |
1,042 |
976 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
232 |
231 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
127 |
127 |
$12K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
1,257 |
1,156 |
$10K |
| 83721 |
|
952 |
886 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,757 |
1,659 |
$9K |
| 80076 |
|
1,146 |
1,045 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$6K |
| 80061 |
Lipid panel |
465 |
429 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
167 |
167 |
$5K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
634 |
593 |
$4K |
| 84439 |
|
463 |
444 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
416 |
408 |
$3K |
| 0002A |
|
35 |
35 |
$1K |
| 99188 |
|
65 |
64 |
$1K |
| 0001A |
|
30 |
30 |
$1K |
| 99499 |
|
44 |
44 |
$1K |
| 83540 |
|
137 |
131 |
$982.91 |
| 90686 |
|
71 |
71 |
$959.41 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
51 |
$930.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
70 |
43 |
$903.83 |
| 82728 |
|
84 |
83 |
$880.80 |
| 90670 |
|
244 |
232 |
$784.00 |
| 0011A |
|
19 |
19 |
$760.00 |
| 90682 |
|
18 |
18 |
$694.65 |
| 0072A |
|
17 |
17 |
$680.00 |
| 0012A |
|
16 |
16 |
$640.00 |
| 0071A |
|
15 |
15 |
$600.00 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
13 |
13 |
$408.00 |
| 96127 |
|
91 |
90 |
$366.50 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
14 |
$351.00 |
| 36415 |
Collection of venous blood by venipuncture |
124 |
114 |
$303.00 |
| 90734 |
|
49 |
49 |
$291.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
23 |
23 |
$230.00 |
| 93000 |
|
12 |
12 |
$202.80 |
| 83550 |
|
46 |
45 |
$196.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$185.25 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
26 |
20 |
$152.46 |
| 90680 |
|
40 |
40 |
$144.00 |
| 90698 |
|
29 |
29 |
$135.00 |
| 99173 |
|
17 |
17 |
$109.80 |
| 83735 |
|
17 |
14 |
$97.18 |
| 84478 |
|
13 |
13 |
$80.76 |
| 82465 |
|
13 |
13 |
$73.93 |
| 85651 |
|
16 |
14 |
$38.70 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90685 |
|
17 |
14 |
$0.00 |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
30 |
30 |
$0.00 |
| 99000 |
|
17 |
17 |
$0.00 |
| 90619 |
|
12 |
12 |
$0.00 |