| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
798 |
747 |
$83K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
424 |
423 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
159 |
159 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
99 |
95 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
184 |
183 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
349 |
345 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
49 |
49 |
$5K |
| 87070 |
|
323 |
318 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
93 |
92 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
148 |
139 |
$973.79 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$864.36 |
| 99429 |
|
181 |
80 |
$765.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
45 |
43 |
$454.24 |
| 99051 |
|
18 |
18 |
$393.00 |
| 96127 |
|
16 |
16 |
$77.86 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
94 |
85 |
$0.27 |
| 90716 |
|
12 |
12 |
$0.00 |
| 90686 |
|
71 |
71 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90700 |
|
12 |
12 |
$0.00 |