| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,007 |
853 |
$33K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
257 |
240 |
$14K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
225 |
147 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
335 |
225 |
$5K |
| 86328 |
|
88 |
78 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
107 |
99 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
72 |
63 |
$648.69 |
| 3008F |
|
1,298 |
1,075 |
$587.04 |
| 3078F |
|
968 |
812 |
$587.04 |
| 3074F |
|
924 |
775 |
$510.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
50 |
39 |
$427.02 |
| 36415 |
Collection of venous blood by venipuncture |
333 |
278 |
$397.42 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
22 |
$299.33 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
18 |
12 |
$235.80 |
| 90688 |
|
47 |
33 |
$173.48 |
| 96160 |
|
13 |
13 |
$109.56 |
| 96127 |
|
14 |
14 |
$76.38 |
| 3079F |
|
44 |
31 |
$10.00 |
| 3075F |
|
18 |
16 |
$0.00 |
| 3077F |
|
22 |
14 |
$0.00 |
| 90670 |
|
21 |
12 |
$0.00 |