| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13,900 |
10,632 |
$1.23M |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,675 |
2,446 |
$163K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,257 |
1,207 |
$109K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
845 |
809 |
$80K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
784 |
772 |
$69K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
638 |
586 |
$53K |
| 99497 |
|
1,139 |
1,010 |
$53K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
276 |
237 |
$52K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
420 |
355 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
3,432 |
3,401 |
$27K |
| 99174 |
|
3,537 |
3,517 |
$20K |
| 92551 |
|
2,322 |
2,307 |
$17K |
| 92587 |
|
1,314 |
1,285 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
168 |
161 |
$14K |
| 92567 |
|
1,471 |
1,335 |
$12K |
| 90686 |
|
1,014 |
1,011 |
$12K |
| 36415 |
Collection of venous blood by venipuncture |
4,203 |
4,095 |
$11K |
| 81002 |
|
2,637 |
2,564 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
227 |
219 |
$8K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
571 |
278 |
$7K |
| 94060 |
|
129 |
126 |
$4K |
| 87430 |
|
286 |
279 |
$4K |
| 69210 |
|
137 |
130 |
$4K |
| 90651 |
|
332 |
330 |
$3K |
| 90670 |
|
357 |
356 |
$3K |
| 83009 |
|
43 |
39 |
$3K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
248 |
234 |
$3K |
| 94664 |
|
227 |
220 |
$2K |
| 90734 |
|
184 |
180 |
$2K |
| 94016 |
|
128 |
126 |
$2K |
| 90648 |
|
160 |
160 |
$2K |
| 99383 |
|
12 |
12 |
$1K |
| 90710 |
|
120 |
120 |
$1K |
| 90685 |
|
75 |
74 |
$1K |
| 99188 |
|
586 |
582 |
$887.75 |
| 85018 |
|
405 |
400 |
$886.90 |
| 90633 |
|
93 |
93 |
$885.92 |
| 90715 |
|
68 |
68 |
$653.01 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
39 |
26 |
$426.74 |
| 83655 |
|
27 |
27 |
$311.07 |
| 90698 |
|
12 |
12 |
$114.48 |
| 90723 |
|
12 |
12 |
$71.52 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
22 |
14 |
$17.55 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
1,559 |
1,550 |
$0.00 |
| G0009 |
Administration of pneumococcal vaccine |
178 |
178 |
$0.00 |
| G0010 |
Administration of hepatitis b vaccine |
13 |
13 |
$0.00 |
| 99072 |
|
96 |
92 |
$0.00 |
| G0438 |
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit |
91 |
91 |
$0.00 |