| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12,465 |
10,083 |
$792K |
| 99199 |
Unlisted special service, procedure or report |
56,476 |
54,879 |
$163K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
10,851 |
5,024 |
$145K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,310 |
1,104 |
$127K |
| 99441 |
|
3,442 |
2,772 |
$106K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
2,208 |
1,966 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
807 |
762 |
$76K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
5,487 |
4,639 |
$73K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
765 |
708 |
$71K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
3,576 |
3,181 |
$67K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
687 |
629 |
$57K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
518 |
457 |
$50K |
| 99442 |
|
694 |
599 |
$37K |
| 96111 |
|
260 |
254 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,891 |
1,728 |
$15K |
| 80061 |
Lipid panel |
690 |
593 |
$10K |
| 92551 |
|
2,574 |
2,293 |
$10K |
| 87807 |
|
735 |
629 |
$10K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
762 |
652 |
$7K |
| 96127 |
|
1,503 |
1,297 |
$6K |
| 81002 |
|
1,543 |
1,342 |
$3K |
| 82947 |
|
765 |
650 |
$3K |
| 99383 |
|
26 |
25 |
$3K |
| 90474 |
|
138 |
126 |
$3K |
| 92567 |
|
85 |
80 |
$1K |
| 99173 |
|
2,558 |
2,283 |
$1K |
| 0071A |
|
20 |
15 |
$910.00 |
| 86308 |
|
139 |
133 |
$867.69 |
| 92552 |
|
14 |
12 |
$209.95 |
| 85018 |
|
17 |
17 |
$49.64 |
| 90658 |
|
136 |
132 |
$12.62 |
| 91307 |
|
47 |
37 |
$11.02 |
| 90723 |
|
83 |
79 |
$0.00 |
| 90647 |
|
381 |
359 |
$0.00 |
| 90696 |
|
14 |
13 |
$0.00 |
| 90686 |
|
471 |
429 |
$0.00 |
| 90651 |
|
161 |
147 |
$0.00 |
| 90680 |
|
109 |
100 |
$0.00 |
| 90734 |
|
172 |
151 |
$0.00 |
| 90710 |
|
125 |
118 |
$0.00 |
| 90670 |
|
667 |
614 |
$0.00 |
| 90649 |
|
63 |
57 |
$0.00 |
| 90700 |
|
179 |
174 |
$0.00 |
| 90633 |
|
205 |
189 |
$0.00 |
| 90715 |
|
99 |
96 |
$0.00 |
| 90713 |
|
51 |
48 |
$0.00 |