| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,040 |
11,324 |
$845K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,436 |
4,163 |
$440K |
| 36415 |
Collection of venous blood by venipuncture |
17,061 |
11,986 |
$224K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,430 |
5,264 |
$181K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,502 |
1,468 |
$94K |
| 90461 |
|
1,646 |
1,634 |
$64K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,049 |
947 |
$64K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
685 |
685 |
$60K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
489 |
488 |
$57K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
951 |
897 |
$52K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,044 |
1,043 |
$50K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
659 |
659 |
$35K |
| 92551 |
|
2,696 |
2,656 |
$33K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,033 |
1,022 |
$19K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
218 |
217 |
$15K |
| 81002 |
|
2,418 |
2,135 |
$15K |
| 90686 |
|
2,341 |
2,339 |
$14K |
| 81025 |
|
632 |
584 |
$9K |
| 86580 |
|
695 |
654 |
$8K |
| 94760 |
|
629 |
563 |
$4K |
| 97802 |
|
86 |
86 |
$3K |
| 99051 |
|
570 |
544 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12 |
12 |
$2K |
| 99383 |
|
16 |
16 |
$1K |
| 94761 |
|
28 |
12 |
$1K |
| 97803 |
|
29 |
29 |
$1K |
| 90651 |
|
108 |
108 |
$712.51 |
| 11721 |
|
15 |
12 |
$647.77 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
79 |
79 |
$572.79 |
| 36416 |
|
125 |
114 |
$566.07 |
| 99173 |
|
223 |
223 |
$459.15 |
| 85018 |
|
159 |
159 |
$387.64 |
| 90670 |
|
687 |
685 |
$330.62 |
| 93005 |
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report |
30 |
30 |
$309.80 |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
26 |
26 |
$305.80 |
| 90685 |
|
393 |
393 |
$150.84 |
| 90707 |
|
40 |
40 |
$80.42 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
29 |
29 |
$1.80 |
| 1125F |
|
1,274 |
1,234 |
$0.00 |
| 1126F |
|
4,098 |
3,961 |
$0.00 |
| 90680 |
|
309 |
308 |
$0.00 |
| 90723 |
|
189 |
188 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |
| 90647 |
|
252 |
252 |
$0.00 |
| 90698 |
|
12 |
12 |
$0.00 |
| 90716 |
|
141 |
140 |
$0.00 |
| 1159F |
|
6,762 |
6,402 |
$0.00 |
| 1160F |
|
5,458 |
5,206 |
$0.00 |
| 90633 |
|
418 |
418 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90648 |
|
88 |
87 |
$0.00 |
| 90734 |
|
36 |
36 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |