| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,518 |
3,183 |
$120K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,472 |
1,376 |
$97K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
699 |
670 |
$37K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
541 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
361 |
344 |
$18K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
724 |
670 |
$16K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
157 |
148 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
653 |
623 |
$8K |
| 90670 |
|
510 |
494 |
$5K |
| 87081 |
|
471 |
449 |
$4K |
| 90698 |
|
370 |
362 |
$3K |
| 90686 |
|
359 |
345 |
$3K |
| 99460 |
|
25 |
24 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
249 |
232 |
$2K |
| 90633 |
|
196 |
188 |
$2K |
| 87807 |
|
165 |
146 |
$2K |
| 90744 |
|
180 |
177 |
$2K |
| 90707 |
|
153 |
151 |
$1K |
| 90716 |
|
153 |
151 |
$1K |
| 90680 |
|
109 |
106 |
$994.24 |
| 71020 |
|
33 |
29 |
$879.60 |
| 90734 |
|
72 |
67 |
$632.72 |
| 90685 |
|
67 |
66 |
$621.40 |
| 90651 |
|
68 |
65 |
$612.28 |
| 90688 |
|
67 |
64 |
$603.16 |
| 90648 |
|
56 |
54 |
$516.24 |
| 90723 |
|
47 |
46 |
$439.76 |
| 90681 |
|
37 |
37 |
$344.16 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
12 |
$342.08 |
| 90696 |
|
15 |
14 |
$133.84 |
| 90700 |
|
14 |
12 |
$114.72 |
| 81025 |
|
14 |
12 |
$108.36 |