| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,371 |
3,625 |
$300K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,832 |
4,917 |
$277K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,108 |
922 |
$81K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
830 |
729 |
$61K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
729 |
581 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
740 |
664 |
$50K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
3,362 |
1,441 |
$38K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,740 |
4,701 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,246 |
1,923 |
$31K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,660 |
2,297 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,537 |
1,278 |
$27K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,475 |
1,175 |
$23K |
| 99215 |
Prolong outpt/office vis |
144 |
122 |
$15K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
936 |
791 |
$13K |
| 36415 |
Collection of venous blood by venipuncture |
6,553 |
5,353 |
$9K |
| 99173 |
|
1,734 |
1,405 |
$7K |
| 92558 |
|
2,043 |
1,663 |
$6K |
| 71046 |
Radiologic examination, chest; 2 views |
540 |
442 |
$6K |
| 81003 |
|
1,802 |
1,498 |
$3K |
| 90474 |
|
338 |
309 |
$3K |
| 1111F |
|
787 |
675 |
$2K |
| 81001 |
|
397 |
343 |
$1K |
| 99460 |
|
34 |
26 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
18 |
15 |
$942.84 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
295 |
233 |
$938.62 |
| 80053 |
Comprehensive metabolic panel |
338 |
257 |
$900.27 |
| 90651 |
|
366 |
307 |
$684.01 |
| 3008F |
|
385 |
304 |
$440.00 |
| 73562 |
|
86 |
67 |
$433.68 |
| 72100 |
|
46 |
39 |
$330.66 |
| 90734 |
|
231 |
185 |
$309.70 |
| 90620 |
|
123 |
105 |
$198.75 |
| 90715 |
|
91 |
76 |
$105.76 |
| 90633 |
|
203 |
168 |
$84.84 |
| 73030 |
|
15 |
13 |
$70.67 |
| 90686 |
|
452 |
409 |
$67.83 |
| 80061 |
Lipid panel |
30 |
26 |
$57.25 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
26 |
25 |
$42.63 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
15 |
13 |
$8.41 |
| 90670 |
|
624 |
547 |
$0.00 |
| 90707 |
|
97 |
82 |
$0.00 |
| 90744 |
|
184 |
160 |
$0.00 |
| 90698 |
|
411 |
371 |
$0.00 |
| 90680 |
|
354 |
324 |
$0.00 |
| 90716 |
|
89 |
70 |
$0.00 |