| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,632 |
3,025 |
$206K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,054 |
1,683 |
$88K |
| 99254 |
|
282 |
253 |
$16K |
| 99233 |
Prolong inpt eval add15 m |
234 |
145 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
69 |
54 |
$5K |
| 99223 |
Prolong inpt eval add15 m |
64 |
61 |
$4K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
40 |
31 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
316 |
228 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
45 |
35 |
$3K |
| 99253 |
|
58 |
37 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
19 |
17 |
$1K |
| 90674 |
|
57 |
37 |
$1K |
| 99215 |
Prolong outpt/office vis |
20 |
18 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
110 |
89 |
$947.26 |
| 90734 |
|
24 |
15 |
$929.16 |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
12 |
$903.76 |
| 84443 |
Thyroid stimulating hormone (TSH) |
66 |
48 |
$837.42 |
| 90686 |
|
48 |
44 |
$802.08 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
87 |
60 |
$647.22 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
109 |
72 |
$592.20 |
| 0003A |
|
14 |
12 |
$572.82 |
| 80061 |
Lipid panel |
102 |
74 |
$555.36 |
| 80053 |
Comprehensive metabolic panel |
89 |
63 |
$551.71 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
108 |
68 |
$510.86 |
| 90694 |
|
12 |
12 |
$507.82 |
| 82607 |
|
56 |
38 |
$492.00 |
| 90688 |
|
32 |
27 |
$463.13 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$359.10 |
| 96127 |
|
21 |
14 |
$306.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
124 |
84 |
$286.20 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
18 |
18 |
$282.60 |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
45 |
39 |
$274.17 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
13 |
13 |
$203.45 |
| J3420 |
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg |
107 |
88 |
$189.68 |
| 90657 |
|
40 |
34 |
$74.05 |
| 90670 |
|
12 |
12 |
$70.40 |
| 36415 |
Collection of venous blood by venipuncture |
81 |
56 |
$45.10 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
173 |
148 |
$0.00 |
| 90461 |
|
15 |
13 |
$0.00 |