| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,765 |
6,819 |
$270K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,550 |
1,377 |
$80K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,429 |
4,111 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
965 |
874 |
$34K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,202 |
950 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
318 |
295 |
$19K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,534 |
688 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
203 |
177 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
130 |
116 |
$9K |
| 92587 |
|
182 |
161 |
$3K |
| 81003 |
|
1,492 |
1,319 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
221 |
212 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
50 |
46 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
143 |
126 |
$940.63 |
| 96127 |
|
82 |
73 |
$292.04 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
13 |
$202.47 |
| 99174 |
|
29 |
24 |
$178.73 |
| 36416 |
|
48 |
41 |
$67.00 |
| 96160 |
|
79 |
70 |
$43.57 |
| 90688 |
|
78 |
61 |
$20.68 |
| 99000 |
|
1,413 |
1,259 |
$7.76 |
| 90686 |
|
314 |
292 |
$0.01 |
| 90698 |
|
56 |
56 |
$0.01 |
| 90670 |
|
30 |
30 |
$0.00 |