| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
331 |
319 |
$28K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
243 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
136 |
134 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
125 |
124 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
197 |
194 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
29 |
29 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
220 |
218 |
$2K |
| 92551 |
|
125 |
122 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
53 |
$1K |
| 90686 |
|
43 |
43 |
$523.35 |
| 90670 |
|
29 |
29 |
$483.80 |
| 90651 |
|
16 |
14 |
$334.54 |
| 90685 |
|
25 |
25 |
$289.28 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$222.86 |
| 81002 |
|
61 |
60 |
$189.71 |
| 99177 |
|
39 |
39 |
$189.22 |
| 96127 |
|
34 |
32 |
$167.35 |
| 36416 |
|
54 |
53 |
$58.30 |
| 99173 |
|
14 |
13 |
$33.67 |