| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,561 |
2,275 |
$109K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,097 |
983 |
$59K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
271 |
237 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
517 |
247 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
261 |
239 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
714 |
618 |
$1K |
| 87430 |
|
82 |
79 |
$913.88 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
76 |
73 |
$854.63 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
57 |
46 |
$723.22 |
| 99051 |
|
329 |
312 |
$647.20 |
| 90756 |
|
35 |
33 |
$469.86 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
65 |
59 |
$385.16 |
| 90674 |
|
15 |
12 |
$159.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
17 |
15 |
$112.50 |
| 81002 |
|
31 |
28 |
$68.76 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
100 |
94 |
$41.95 |
| 1111F |
|
27 |
26 |
$20.00 |