| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41,136 |
32,045 |
$2.17M |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
1,054 |
307 |
$329K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,246 |
8,167 |
$313K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,138 |
3,123 |
$271K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
3,108 |
3,084 |
$242K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
2,458 |
2,443 |
$168K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,825 |
1,784 |
$146K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
9,254 |
8,983 |
$90K |
| 90651 |
|
1,454 |
1,438 |
$56K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
240 |
239 |
$53K |
| 99401 |
|
1,596 |
1,533 |
$46K |
| 69210 |
|
1,165 |
1,143 |
$38K |
| 95018 |
|
243 |
243 |
$31K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
741 |
598 |
$21K |
| 95076 |
|
256 |
255 |
$21K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
225 |
220 |
$18K |
| 99188 |
|
854 |
843 |
$11K |
| 90461 |
|
3,315 |
3,228 |
$11K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,666 |
1,593 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
77 |
77 |
$10K |
| 90723 |
|
295 |
295 |
$7K |
| 90620 |
|
641 |
614 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
763 |
433 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,080 |
1,032 |
$4K |
| 90698 |
|
305 |
305 |
$4K |
| 17110 |
|
40 |
39 |
$4K |
| 90633 |
|
1,067 |
1,061 |
$4K |
| 95117 |
|
452 |
68 |
$3K |
| 90670 |
|
1,673 |
1,668 |
$3K |
| 97802 |
|
338 |
332 |
$3K |
| 90716 |
|
891 |
884 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
52 |
47 |
$480.00 |
| 90648 |
|
817 |
814 |
$432.92 |
| 90700 |
|
913 |
908 |
$409.64 |
| 90734 |
|
521 |
511 |
$190.52 |
| 90707 |
|
862 |
859 |
$171.49 |
| 90713 |
|
138 |
137 |
$148.65 |
| 90715 |
|
359 |
353 |
$87.27 |
| 90686 |
|
2,311 |
2,296 |
$85.00 |
| 81000 |
|
497 |
466 |
$0.00 |
| 90680 |
|
959 |
956 |
$0.00 |
| 90697 |
|
204 |
202 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
12 |
12 |
$0.00 |
| 90688 |
|
244 |
236 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
842 |
755 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
29 |
29 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
141 |
123 |
$0.00 |
| 86710 |
|
45 |
44 |
$0.00 |
| 96127 |
|
426 |
375 |
$0.00 |
| 90619 |
|
83 |
83 |
$0.00 |
| 90671 |
|
69 |
69 |
$0.00 |
| 90681 |
|
43 |
42 |
$0.00 |
| 99499 |
|
61 |
55 |
$0.00 |
| 90685 |
|
64 |
64 |
$0.00 |
| 90714 |
|
29 |
29 |
$0.00 |