| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,738 |
5,300 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,874 |
2,662 |
$242K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,235 |
1,195 |
$168K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,179 |
1,136 |
$136K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
784 |
759 |
$96K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
508 |
459 |
$67K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,215 |
1,162 |
$47K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,187 |
3,806 |
$43K |
| 99383 |
|
262 |
256 |
$35K |
| 92552 |
|
3,707 |
3,584 |
$29K |
| 99384 |
|
150 |
144 |
$21K |
| 90461 |
|
1,692 |
1,463 |
$14K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,932 |
2,013 |
$9K |
| 99382 |
|
53 |
52 |
$7K |
| 81002 |
|
4,229 |
4,087 |
$5K |
| 83655 |
|
743 |
692 |
$4K |
| 85018 |
|
6,040 |
5,845 |
$4K |
| 99215 |
Prolong outpt/office vis |
16 |
16 |
$2K |
| 84443 |
Thyroid stimulating hormone (TSH) |
98 |
90 |
$2K |
| 92551 |
|
2,870 |
2,586 |
$648.81 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
332 |
318 |
$581.11 |
| 80061 |
Lipid panel |
117 |
105 |
$540.04 |
| 96127 |
|
1,121 |
1,052 |
$508.35 |
| 90697 |
|
40 |
39 |
$490.83 |
| 96161 |
|
200 |
171 |
$454.20 |
| 99174 |
|
4,414 |
3,920 |
$452.21 |
| 90619 |
|
15 |
15 |
$384.22 |
| 90670 |
|
340 |
326 |
$369.20 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
143 |
130 |
$310.56 |
| 96160 |
|
295 |
285 |
$309.77 |
| 80053 |
Comprehensive metabolic panel |
101 |
93 |
$298.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
292 |
286 |
$290.14 |
| 99173 |
|
2,700 |
2,455 |
$260.31 |
| 36415 |
Collection of venous blood by venipuncture |
120 |
109 |
$250.00 |
| 84439 |
|
101 |
93 |
$206.43 |
| 90716 |
|
44 |
39 |
$166.48 |
| 90633 |
|
333 |
327 |
$146.03 |
| 82306 |
Vitamin D; 25 hydroxy, includes fraction(s), if performed |
13 |
12 |
$143.52 |
| 90686 |
|
577 |
569 |
$96.93 |
| 90620 |
|
25 |
25 |
$72.03 |
| 90656 |
|
12 |
12 |
$17.19 |
| 99000 |
|
88 |
64 |
$5.11 |
| 90698 |
|
88 |
87 |
$0.00 |
| 3008F |
|
110 |
94 |
$0.00 |
| 90651 |
|
240 |
237 |
$0.00 |
| 3074F |
|
87 |
74 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |
| 90688 |
|
13 |
12 |
$0.00 |
| 87070 |
|
51 |
49 |
$0.00 |
| 90744 |
|
37 |
36 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
13 |
$0.00 |
| 3725F |
|
188 |
162 |
$0.00 |
| 90734 |
|
64 |
64 |
$0.00 |
| 1159F |
|
15 |
13 |
$0.00 |
| 3078F |
|
63 |
56 |
$0.00 |
| 90707 |
|
27 |
25 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 99177 |
|
44 |
44 |
$0.00 |
| 1090F |
|
15 |
13 |
$0.00 |