| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,379 |
2,102 |
$107K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
854 |
796 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
476 |
444 |
$37K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
447 |
423 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
385 |
375 |
$29K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
282 |
267 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
284 |
262 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
262 |
248 |
$18K |
| 90651 |
|
114 |
99 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
209 |
204 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
123 |
121 |
$3K |
| 90670 |
|
234 |
228 |
$3K |
| 90734 |
|
70 |
62 |
$2K |
| 90686 |
|
180 |
170 |
$2K |
| 90647 |
|
153 |
127 |
$1K |
| 83655 |
|
98 |
95 |
$1K |
| 90723 |
|
105 |
101 |
$665.60 |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
18 |
15 |
$600.43 |
| 96127 |
|
14 |
13 |
$350.40 |
| 90633 |
|
24 |
24 |
$260.76 |
| 85018 |
|
97 |
96 |
$223.04 |
| 90715 |
|
17 |
17 |
$187.08 |
| 90710 |
|
12 |
12 |
$94.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$74.62 |
| 81001 |
|
13 |
12 |
$37.18 |
| 36415 |
Collection of venous blood by venipuncture |
15 |
15 |
$32.80 |
| 94760 |
|
26 |
15 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
14 |
$0.00 |