| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,171 |
4,777 |
$315K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,678 |
3,285 |
$145K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,149 |
2,581 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,082 |
1,883 |
$64K |
| 92587 |
|
1,074 |
998 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
542 |
511 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,624 |
2,450 |
$38K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
452 |
430 |
$32K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,390 |
2,212 |
$26K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,684 |
775 |
$24K |
| 99173 |
|
1,676 |
1,560 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
207 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
494 |
449 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
150 |
143 |
$12K |
| 36416 |
|
2,324 |
2,147 |
$7K |
| 81003 |
|
1,396 |
1,268 |
$4K |
| 80061 |
Lipid panel |
217 |
201 |
$3K |
| 92558 |
|
365 |
342 |
$3K |
| 81002 |
|
395 |
379 |
$1K |
| 90461 |
|
531 |
405 |
$744.14 |
| 83655 |
|
24 |
24 |
$415.44 |
| 96127 |
|
68 |
63 |
$306.81 |
| 87070 |
|
1,202 |
1,129 |
$216.48 |
| 90686 |
|
559 |
507 |
$130.00 |
| 94760 |
|
66 |
42 |
$116.85 |
| 90658 |
|
13 |
12 |
$90.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
51 |
51 |
$81.56 |
| 86756 |
|
85 |
74 |
$25.49 |
| 90688 |
|
49 |
48 |
$20.00 |
| 90633 |
|
24 |
24 |
$0.00 |
| 90670 |
|
95 |
95 |
$0.00 |
| 90651 |
|
76 |
73 |
$0.00 |
| 90698 |
|
99 |
94 |
$0.00 |