| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,418 |
3,036 |
$680K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,168 |
$259K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
799 |
745 |
$151K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
768 |
721 |
$145K |
| 90649 |
|
194 |
181 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
57 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
16 |
16 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$2K |
| 90461 |
|
275 |
190 |
$0.00 |
| 90715 |
|
458 |
431 |
$0.00 |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
632 |
584 |
$0.00 |
| 90713 |
|
209 |
200 |
$0.00 |
| 83655 |
|
237 |
221 |
$0.00 |
| 86787 |
|
431 |
400 |
$0.00 |
| 86480 |
|
914 |
816 |
$0.00 |
| 86682 |
|
491 |
374 |
$0.00 |
| 87177 |
|
38 |
38 |
$0.00 |
| 82652 |
|
30 |
30 |
$0.00 |
| 83013 |
|
26 |
26 |
$0.00 |
| 99173 |
|
31 |
31 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,137 |
499 |
$0.00 |
| 80074 |
|
629 |
575 |
$0.00 |
| 90633 |
|
176 |
169 |
$0.00 |
| 90746 |
|
13 |
13 |
$0.00 |
| 81025 |
|
383 |
335 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
541 |
309 |
$0.00 |
| 90707 |
|
66 |
64 |
$0.00 |
| 82948 |
|
176 |
151 |
$0.00 |
| 90714 |
|
50 |
50 |
$0.00 |
| 80061 |
Lipid panel |
41 |
40 |
$0.00 |
| 81002 |
|
30 |
28 |
$0.00 |
| 86708 |
|
108 |
105 |
$0.00 |
| 90685 |
|
21 |
16 |
$0.00 |
| 86317 |
|
461 |
427 |
$0.00 |
| 86592 |
|
575 |
535 |
$0.00 |
| 90716 |
|
223 |
212 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,961 |
1,672 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,433 |
1,339 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
484 |
460 |
$0.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
562 |
531 |
$0.00 |
| 87389 |
Infectious agent antigen detection by immunoassay technique, HIV-1 antigen with HIV-1 and HIV-2 antibodies |
700 |
642 |
$0.00 |
| 90686 |
|
302 |
276 |
$0.00 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
206 |
202 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
416 |
392 |
$0.00 |
| 87340 |
|
218 |
214 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
59 |
$0.00 |
| 90688 |
|
285 |
251 |
$0.00 |
| 86803 |
|
192 |
188 |
$0.00 |
| 90744 |
|
48 |
46 |
$0.00 |
| 87517 |
|
14 |
12 |
$0.00 |
| 86707 |
|
14 |
12 |
$0.00 |
| 36416 |
|
41 |
30 |
$0.00 |