| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,577 |
2,285 |
$132K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
664 |
581 |
$52K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
855 |
772 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
293 |
274 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
159 |
151 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
115 |
106 |
$8K |
| 92551 |
|
430 |
379 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
275 |
235 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
330 |
277 |
$2K |
| 3008F |
|
617 |
556 |
$2K |
| 99173 |
|
410 |
361 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
147 |
134 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
38 |
37 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
13 |
13 |
$922.23 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
29 |
$831.39 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
39 |
37 |
$600.74 |
| 96161 |
|
31 |
25 |
$485.29 |
| 36416 |
|
410 |
345 |
$452.02 |
| 87081 |
|
99 |
90 |
$441.04 |
| 99177 |
|
27 |
24 |
$169.70 |
| 90686 |
|
350 |
322 |
$111.25 |
| 81003 |
|
28 |
25 |
$51.93 |
| 90670 |
|
110 |
96 |
$0.00 |
| 90633 |
|
15 |
13 |
$0.00 |
| 90723 |
|
32 |
26 |
$0.00 |
| 90647 |
|
42 |
38 |
$0.00 |
| 90680 |
|
12 |
12 |
$0.00 |