| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,971 |
4,526 |
$312K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,213 |
3,033 |
$143K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
282 |
282 |
$25K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
237 |
236 |
$19K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
290 |
288 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
190 |
190 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
186 |
186 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
138 |
$13K |
| 84443 |
Thyroid stimulating hormone (TSH) |
740 |
730 |
$11K |
| 80053 |
Comprehensive metabolic panel |
1,097 |
1,076 |
$11K |
| 77067 |
Screening mammography, bilateral, including computer-aided detection |
184 |
184 |
$10K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,432 |
1,414 |
$10K |
| 90686 |
|
782 |
781 |
$9K |
| 80061 |
Lipid panel |
677 |
674 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
99 |
99 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,031 |
1,000 |
$7K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
107 |
106 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
504 |
500 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
2,224 |
2,058 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
334 |
257 |
$4K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
453 |
453 |
$4K |
| 77063 |
Screening digital breast tomosynthesis, bilateral |
184 |
184 |
$3K |
| 80048 |
Basic metabolic panel (calcium, ionized) |
279 |
269 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
151 |
148 |
$2K |
| 90732 |
|
12 |
12 |
$1K |
| 81001 |
|
441 |
414 |
$1K |
| 90651 |
|
38 |
38 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
64 |
63 |
$707.35 |
| 85027 |
|
111 |
111 |
$680.78 |
| 90670 |
|
120 |
119 |
$650.30 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
77 |
72 |
$640.18 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
38 |
37 |
$479.85 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$327.32 |
| 90734 |
|
25 |
25 |
$128.85 |
| 90715 |
|
12 |
12 |
$92.85 |
| 81025 |
|
13 |
13 |
$85.56 |
| 82043 |
|
15 |
12 |
$82.74 |
| 86140 |
|
17 |
16 |
$76.32 |
| 82570 |
|
15 |
12 |
$74.06 |
| 85651 |
|
14 |
13 |
$45.89 |
| 90707 |
|
24 |
24 |
$0.00 |
| 90685 |
|
12 |
12 |
$0.00 |
| 90633 |
|
28 |
28 |
$0.00 |
| 90647 |
|
72 |
72 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90723 |
|
69 |
69 |
$0.00 |
| 90680 |
|
13 |
13 |
$0.00 |