| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,410 |
2,009 |
$152K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,439 |
1,262 |
$60K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,558 |
1,011 |
$45K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
564 |
490 |
$38K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
633 |
540 |
$37K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
334 |
285 |
$21K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,094 |
947 |
$16K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
674 |
331 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
84 |
59 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
666 |
545 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
384 |
347 |
$4K |
| 96161 |
|
264 |
228 |
$3K |
| 99173 |
|
276 |
242 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
82 |
71 |
$882.77 |
| 90670 |
|
392 |
341 |
$782.75 |
| 87807 |
|
77 |
73 |
$717.85 |
| 36415 |
Collection of venous blood by venipuncture |
371 |
298 |
$581.68 |
| 90461 |
|
2,135 |
601 |
$361.48 |
| 90723 |
|
261 |
225 |
$355.59 |
| 90686 |
|
487 |
424 |
$314.75 |
| 96127 |
|
40 |
26 |
$267.28 |
| 90680 |
|
192 |
168 |
$265.73 |
| 36416 |
|
161 |
132 |
$224.86 |
| 92551 |
|
16 |
14 |
$132.83 |
| 90633 |
|
101 |
91 |
$128.20 |
| 90647 |
|
183 |
163 |
$126.81 |
| 83655 |
|
12 |
12 |
$126.51 |
| 90716 |
|
29 |
27 |
$34.10 |
| 90707 |
|
29 |
27 |
$34.10 |
| 99000 |
|
606 |
495 |
$4.57 |