| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,991 |
1,869 |
$169K |
| 99199 |
Unlisted special service, procedure or report |
13,991 |
6,795 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
747 |
719 |
$42K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,899 |
915 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
210 |
207 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
170 |
166 |
$15K |
| 92567 |
|
1,069 |
1,025 |
$14K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
155 |
153 |
$13K |
| 87430 |
|
962 |
926 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
521 |
496 |
$10K |
| 80061 |
Lipid panel |
501 |
486 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
440 |
419 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
448 |
441 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,098 |
1,054 |
$3K |
| 78268 |
|
32 |
32 |
$3K |
| 94010 |
|
93 |
90 |
$2K |
| 80307 |
Drug test(s), presumptive, any number of drug classes; immunoassay |
27 |
27 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
62 |
58 |
$2K |
| 81000 |
|
497 |
475 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
18 |
18 |
$1K |
| 93000 |
|
55 |
55 |
$898.70 |
| 99070 |
|
99 |
98 |
$894.90 |
| 96127 |
|
197 |
196 |
$828.75 |
| 92551 |
|
839 |
818 |
$524.22 |
| 78267 |
|
32 |
32 |
$315.52 |
| 96160 |
|
115 |
103 |
$299.20 |
| 81025 |
|
25 |
25 |
$171.60 |
| 87807 |
|
14 |
13 |
$169.56 |
| 99173 |
|
816 |
795 |
$30.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90658 |
|
58 |
56 |
$0.00 |