| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37,017 |
27,442 |
$4.26M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
11,068 |
8,696 |
$1.28M |
| X5622 |
|
1,112 |
1,011 |
$211K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,822 |
1,269 |
$206K |
| 99215 |
Prolong outpt/office vis |
1,165 |
876 |
$144K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
638 |
550 |
$62K |
| 96127 |
|
2,878 |
2,086 |
$6K |
| 99205 |
Prolong outpt/office vis |
30 |
30 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
116 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
12 |
12 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
23 |
12 |
$2K |
| 99417 |
Prolong home eval add 15m |
175 |
105 |
$926.55 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
1,867 |
1,629 |
$741.86 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
28 |
27 |
$256.15 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
29 |
28 |
$218.33 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,286 |
1,210 |
$203.04 |
| 80048 |
Basic metabolic panel (calcium, ionized) |
588 |
462 |
$149.41 |
| 71046 |
Radiologic examination, chest; 2 views |
260 |
218 |
$92.60 |
| 36415 |
Collection of venous blood by venipuncture |
1,848 |
1,411 |
$64.92 |
| 92551 |
|
529 |
482 |
$56.83 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
478 |
369 |
$44.11 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
19 |
12 |
$32.15 |
| 85027 |
|
76 |
63 |
$14.47 |
| 99188 |
|
106 |
104 |
$14.36 |
| 93000 |
|
12 |
12 |
$14.12 |
| 80053 |
Comprehensive metabolic panel |
154 |
127 |
$11.97 |
| 99173 |
|
533 |
485 |
$9.45 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
969 |
911 |
$0.97 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
385 |
366 |
$0.00 |
| 81003 |
|
64 |
58 |
$0.00 |
| J3301 |
Injection, triamcinolone acetonide, not otherwise specified, 10 mg |
19 |
12 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
42 |
$0.00 |
| 81025 |
|
17 |
13 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
119 |
109 |
$0.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
408 |
385 |
$0.00 |
| 81001 |
|
99 |
94 |
$0.00 |
| 90686 |
|
51 |
50 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
28 |
28 |
$0.00 |
| J2795 |
Injection, ropivacaine hydrochloride, 1 mg |
23 |
13 |
$0.00 |
| J1885 |
Injection, ketorolac tromethamine, per 15 mg |
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
12 |
12 |
$0.00 |