| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,997 |
3,632 |
$151K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,430 |
3,129 |
$92K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
994 |
925 |
$54K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
781 |
764 |
$42K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
583 |
575 |
$30K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
183 |
181 |
$9K |
| 3008F |
|
706 |
698 |
$7K |
| 97110 |
Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion |
326 |
190 |
$6K |
| 90686 |
|
704 |
697 |
$5K |
| 90670 |
|
720 |
698 |
$3K |
| 97140 |
Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) |
186 |
112 |
$3K |
| 90647 |
|
391 |
380 |
$2K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
173 |
151 |
$2K |
| 90723 |
|
433 |
425 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
171 |
158 |
$1K |
| 90651 |
|
102 |
100 |
$1K |
| 90680 |
|
312 |
306 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
92 |
90 |
$745.43 |
| 90633 |
|
149 |
148 |
$514.89 |
| 90685 |
|
119 |
117 |
$389.07 |
| 85018 |
|
93 |
89 |
$289.90 |
| 90715 |
|
26 |
26 |
$256.63 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
14 |
$223.32 |
| 36416 |
|
75 |
70 |
$176.54 |
| 90734 |
|
55 |
51 |
$169.11 |
| 85014 |
|
53 |
52 |
$167.12 |
| 99406 |
|
14 |
13 |
$130.76 |
| 81001 |
|
31 |
29 |
$110.29 |
| 85027 |
|
15 |
13 |
$109.64 |
| 90696 |
|
13 |
13 |
$43.03 |
| 90710 |
|
13 |
13 |
$43.03 |
| 36415 |
Collection of venous blood by venipuncture |
1,557 |
1,419 |
$33.60 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
49 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$0.00 |