| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15,080 |
12,211 |
$745K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,529 |
1,442 |
$204K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,459 |
1,352 |
$182K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,393 |
1,311 |
$182K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,929 |
3,469 |
$128K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
415 |
84 |
$126K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
884 |
829 |
$110K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,379 |
1,271 |
$108K |
| 92552 |
|
4,833 |
4,280 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,627 |
3,649 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
26 |
26 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,978 |
1,850 |
$4K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
41 |
29 |
$3K |
| 92567 |
|
1,372 |
1,254 |
$3K |
| 95117 |
|
294 |
94 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
655 |
628 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$1K |
| 81000 |
|
1,404 |
1,240 |
$860.53 |
| 85018 |
|
4,129 |
3,685 |
$791.30 |
| 99173 |
|
3,479 |
3,006 |
$558.92 |
| 97803 |
|
3,859 |
3,471 |
$406.68 |
| 90670 |
|
639 |
612 |
$303.01 |
| 90716 |
|
261 |
242 |
$159.73 |
| 90715 |
|
81 |
80 |
$68.02 |
| 90656 |
|
171 |
171 |
$68.02 |
| 81003 |
|
2,457 |
2,198 |
$55.59 |
| 82820 |
|
209 |
192 |
$46.55 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
230 |
207 |
$38.88 |
| 90700 |
|
286 |
268 |
$30.00 |
| 36415 |
Collection of venous blood by venipuncture |
562 |
518 |
$27.00 |
| 90707 |
|
139 |
129 |
$12.33 |
| 90633 |
|
131 |
119 |
$10.00 |
| 3210F |
|
1,613 |
1,459 |
$9.70 |
| 4120F |
|
1,272 |
1,150 |
$0.00 |
| 4124F |
|
81 |
79 |
$0.00 |
| 90713 |
|
108 |
96 |
$0.00 |
| 90461 |
|
469 |
261 |
$0.00 |
| 90648 |
|
271 |
248 |
$0.00 |
| 90734 |
|
255 |
238 |
$0.00 |
| 83655 |
|
20 |
19 |
$0.00 |
| 90655 |
|
12 |
12 |
$0.00 |
| 90680 |
|
262 |
244 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
580 |
535 |
$0.00 |
| 90698 |
|
147 |
146 |
$0.00 |
| 90744 |
|
95 |
94 |
$0.00 |
| 86580 |
|
14 |
14 |
$0.00 |
| 90620 |
|
13 |
13 |
$0.00 |
| 90651 |
|
30 |
25 |
$0.00 |
| 92551 |
|
45 |
42 |
$0.00 |
| 99447 |
|
17 |
13 |
$0.00 |
| 1038F |
|
15 |
12 |
$0.00 |
| 1005F |
|
17 |
15 |
$0.00 |
| 4140F |
|
17 |
14 |
$0.00 |