| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
332 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
203 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
749 |
287 |
$11K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
74 |
62 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
280 |
221 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
30 |
24 |
$2K |
| 92552 |
|
110 |
102 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
169 |
133 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
17 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
195 |
162 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
41 |
$817.07 |
| 99173 |
|
122 |
114 |
$635.37 |
| 96127 |
|
144 |
130 |
$573.18 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
18 |
16 |
$550.76 |
| 81003 |
|
163 |
145 |
$248.06 |
| 36416 |
|
106 |
83 |
$107.92 |
| 36415 |
Collection of venous blood by venipuncture |
71 |
62 |
$91.50 |
| 90686 |
|
83 |
77 |
$0.01 |
| 90670 |
|
31 |
13 |
$0.00 |
| 90685 |
|
20 |
19 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
15 |
15 |
$0.00 |