| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99199 |
Unlisted special service, procedure or report |
96,175 |
47,036 |
$484K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,646 |
4,409 |
$389K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,049 |
4,364 |
$290K |
| 99215 |
Prolong outpt/office vis |
2,904 |
2,537 |
$195K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,120 |
894 |
$85K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
788 |
641 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
730 |
643 |
$55K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,417 |
1,998 |
$41K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,274 |
1,052 |
$39K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
6,257 |
5,293 |
$34K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
301 |
252 |
$22K |
| 99205 |
Prolong outpt/office vis |
159 |
128 |
$20K |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
1,334 |
1,171 |
$17K |
| 96127 |
|
3,429 |
2,797 |
$12K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,125 |
935 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
436 |
210 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
431 |
419 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
207 |
164 |
$6K |
| 81000 |
|
2,933 |
2,484 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
145 |
131 |
$4K |
| 71045 |
Radiologic examination, chest; single view |
322 |
219 |
$2K |
| 99497 |
|
345 |
303 |
$2K |
| 92552 |
|
2,881 |
2,334 |
$2K |
| D1206 |
Topical application of fluoride varnish |
145 |
131 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
14 |
13 |
$1K |
| 96160 |
|
465 |
388 |
$782.09 |
| 96161 |
|
222 |
180 |
$660.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
68 |
37 |
$502.33 |
| 93000 |
|
46 |
41 |
$485.46 |
| 99307 |
|
81 |
78 |
$416.25 |
| 99173 |
|
2,978 |
2,426 |
$289.51 |
| 99406 |
|
17 |
13 |
$92.56 |
| 36415 |
Collection of venous blood by venipuncture |
28 |
26 |
$10.80 |
| 90698 |
|
256 |
220 |
$0.00 |
| 3044F |
|
16 |
15 |
$0.00 |
| 3074F |
|
225 |
205 |
$0.00 |
| 90688 |
|
479 |
392 |
$0.00 |
| 90680 |
|
112 |
92 |
$0.00 |
| 3048F |
|
53 |
49 |
$0.00 |
| 90651 |
|
224 |
178 |
$0.00 |
| 4010F |
|
45 |
41 |
$0.00 |
| 3079F |
|
191 |
173 |
$0.00 |
| 3017F |
|
94 |
85 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
28 |
27 |
$0.00 |
| 90696 |
|
12 |
12 |
$0.00 |
| 90744 |
|
14 |
13 |
$0.00 |
| 3075F |
|
12 |
12 |
$0.00 |
| 2022F |
|
113 |
96 |
$0.00 |
| 1159F |
|
1,744 |
1,472 |
$0.00 |
| 90670 |
|
390 |
325 |
$0.00 |
| 1003F |
|
600 |
519 |
$0.00 |
| 3077F |
|
98 |
87 |
$0.00 |
| 90633 |
|
167 |
150 |
$0.00 |
| 90734 |
|
189 |
138 |
$0.00 |
| 3078F |
|
91 |
85 |
$0.00 |
| 90687 |
|
45 |
36 |
$0.00 |
| 90715 |
|
81 |
65 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 3288F |
|
32 |
29 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
14 |
12 |
$0.00 |