| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,384 |
7,703 |
$5.57M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,283 |
1,142 |
$754K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
974 |
877 |
$609K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
216 |
214 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
128 |
119 |
$94K |
| 99442 |
|
69 |
62 |
$43K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
69 |
52 |
$35K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
625 |
587 |
$28K |
| 80053 |
Comprehensive metabolic panel |
629 |
511 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
26 |
24 |
$15K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$14K |
| 99441 |
|
12 |
12 |
$9K |
| 97161 |
|
12 |
12 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
806 |
690 |
$6K |
| 81001 |
|
863 |
757 |
$6K |
| 92015 |
Determination of refractive state |
224 |
211 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
556 |
526 |
$5K |
| 99173 |
|
191 |
190 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
44 |
41 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
41 |
38 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
219 |
194 |
$3K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
70 |
67 |
$2K |
| 86703 |
|
83 |
79 |
$1K |
| 86580 |
|
49 |
48 |
$1K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
129 |
102 |
$808.00 |
| 85018 |
|
53 |
53 |
$682.00 |
| 81025 |
|
57 |
55 |
$682.00 |
| 87070 |
|
118 |
112 |
$0.00 |
| 86780 |
|
71 |
68 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
13 |
12 |
$0.00 |
| 80061 |
Lipid panel |
113 |
110 |
$0.00 |
| 71046 |
Radiologic examination, chest; 2 views |
84 |
42 |
$0.00 |