| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,466 |
2,936 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
506 |
463 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
412 |
374 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
92 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
158 |
$4K |
| 90670 |
|
389 |
373 |
$4K |
| 99460 |
|
27 |
24 |
$2K |
| 90688 |
|
277 |
217 |
$2K |
| 90647 |
|
212 |
197 |
$2K |
| 90686 |
|
156 |
140 |
$1K |
| 90680 |
|
119 |
115 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
16 |
$846.15 |
| 90633 |
|
103 |
89 |
$822.16 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
88 |
77 |
$813.60 |
| 90723 |
|
86 |
83 |
$783.92 |
| 90710 |
|
34 |
27 |
$248.56 |
| 90651 |
|
15 |
15 |
$133.84 |
| 90698 |
|
14 |
14 |
$133.84 |
| 90734 |
|
16 |
16 |
$133.84 |
| 90685 |
|
13 |
13 |
$124.28 |