| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43,090 |
40,291 |
$1.51M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15,152 |
14,127 |
$718K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,295 |
1,148 |
$87K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,922 |
5,690 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
653 |
642 |
$50K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
689 |
657 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,863 |
2,763 |
$42K |
| 90686 |
|
3,089 |
3,010 |
$37K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
1,631 |
1,570 |
$37K |
| 36415 |
Collection of venous blood by venipuncture |
12,807 |
11,804 |
$30K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,252 |
988 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
479 |
455 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,234 |
2,104 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
244 |
242 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
159 |
155 |
$14K |
| 83036 |
Hemoglobin; glycosylated (A1C) |
1,232 |
1,180 |
$11K |
| 81003 |
|
4,026 |
3,051 |
$10K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
75 |
75 |
$4K |
| 90670 |
|
715 |
692 |
$3K |
| 99215 |
Prolong outpt/office vis |
42 |
37 |
$3K |
| 87428 |
|
29 |
27 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
632 |
576 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
26 |
26 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
53 |
53 |
$1K |
| 71046 |
Radiologic examination, chest; 2 views |
67 |
66 |
$1K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
14 |
$1K |
| 80047 |
|
118 |
116 |
$1K |
| 90715 |
|
96 |
93 |
$1K |
| 90474 |
|
141 |
136 |
$915.79 |
| 90656 |
|
107 |
107 |
$830.01 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
19 |
12 |
$658.01 |
| 81025 |
|
82 |
77 |
$612.52 |
| 90651 |
|
97 |
94 |
$607.48 |
| 99442 |
|
28 |
14 |
$438.24 |
| 85027 |
|
66 |
63 |
$431.81 |
| 90734 |
|
62 |
61 |
$368.19 |
| 90682 |
|
16 |
14 |
$346.02 |
| 90677 |
|
17 |
17 |
$257.17 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
40 |
40 |
$138.58 |
| 90461 |
|
13 |
13 |
$118.69 |
| 82570 |
|
15 |
14 |
$58.82 |
| 82044 |
|
15 |
14 |
$52.67 |
| 90633 |
|
12 |
12 |
$28.75 |
| 90648 |
|
186 |
177 |
$24.68 |
| 90647 |
|
198 |
190 |
$22.83 |
| 90723 |
|
346 |
335 |
$0.14 |
| 90680 |
|
180 |
177 |
$0.09 |
| 90710 |
|
12 |
12 |
$0.01 |
| 90696 |
|
12 |
12 |
$0.01 |
| 90685 |
|
16 |
16 |
$0.00 |
| 91300 |
|
12 |
12 |
$0.00 |