| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
844 |
722 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
891 |
801 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
73 |
66 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
367 |
209 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$796.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
156 |
148 |
$763.95 |
| 0012A |
|
33 |
28 |
$475.53 |
| 0011A |
|
35 |
28 |
$260.34 |
| 90461 |
|
46 |
28 |
$180.32 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$140.01 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
16 |
15 |
$88.24 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
37 |
34 |
$57.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
13 |
$40.30 |
| 96160 |
|
58 |
54 |
$32.63 |
| 81003 |
|
37 |
30 |
$25.98 |
| 81002 |
|
39 |
38 |
$11.68 |
| 91301 |
|
68 |
57 |
$0.10 |
| 99000 |
|
135 |
134 |
$0.00 |
| 99072 |
|
24 |
18 |
$0.00 |