| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,612 |
1,468 |
$122K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
867 |
772 |
$106K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,885 |
1,844 |
$99K |
| 90461 |
|
288 |
282 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
212 |
187 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
89 |
89 |
$9K |
| 90686 |
|
480 |
476 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
93 |
$9K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,011 |
987 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
70 |
70 |
$7K |
| 99177 |
|
345 |
339 |
$6K |
| 90674 |
|
120 |
118 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
24 |
$3K |
| 90670 |
|
16 |
14 |
$3K |
| 86328 |
|
39 |
36 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
126 |
60 |
$1K |
| 90700 |
|
55 |
52 |
$1K |
| 81000 |
|
405 |
393 |
$1K |
| 90680 |
|
14 |
12 |
$1K |
| 90672 |
|
29 |
29 |
$758.64 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
52 |
$589.36 |
| 80061 |
Lipid panel |
25 |
25 |
$290.00 |
| 90648 |
|
15 |
13 |
$141.05 |