| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,713 |
3,367 |
$155K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,017 |
1,868 |
$106K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
404 |
393 |
$92K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,179 |
2,148 |
$79K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,315 |
1,245 |
$25K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
383 |
382 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
309 |
309 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
337 |
331 |
$17K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,085 |
604 |
$17K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,092 |
2,060 |
$9K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
135 |
135 |
$9K |
| 99051 |
|
884 |
847 |
$8K |
| 95930 |
|
56 |
56 |
$4K |
| 96127 |
|
708 |
705 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
567 |
564 |
$3K |
| 83655 |
|
372 |
371 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
54 |
$2K |
| 99174 |
|
57 |
56 |
$1K |
| 36415 |
Collection of venous blood by venipuncture |
777 |
769 |
$876.52 |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
12 |
12 |
$780.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
123 |
117 |
$732.45 |
| 92568 |
|
75 |
69 |
$699.45 |
| 87070 |
|
123 |
117 |
$576.81 |
| 87081 |
|
123 |
117 |
$470.60 |
| 96161 |
|
321 |
318 |
$406.14 |
| 92588 |
|
27 |
27 |
$374.07 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
16 |
15 |
$321.76 |
| 87581 |
|
16 |
15 |
$321.76 |
| 87486 |
|
16 |
15 |
$321.76 |
| 97802 |
|
368 |
367 |
$310.52 |
| 81002 |
|
84 |
80 |
$131.72 |
| 36416 |
|
456 |
447 |
$1.59 |
| 99401 |
|
122 |
122 |
$0.00 |
| 99000 |
|
365 |
360 |
$0.00 |
| 92567 |
|
76 |
70 |
$0.00 |