| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,466 |
1,259 |
$84K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,503 |
1,327 |
$68K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
294 |
273 |
$21K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
246 |
238 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
690 |
646 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
324 |
307 |
$9K |
| 99460 |
|
192 |
181 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
57 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
259 |
249 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
65 |
57 |
$2K |
| 90474 |
|
77 |
71 |
$1K |
| D0145 |
Oral evaluation for a patient under three years of age |
38 |
38 |
$1K |
| 99462 |
|
37 |
32 |
$913.58 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
45 |
$565.20 |
| D1206 |
Topical application of fluoride varnish |
38 |
38 |
$564.25 |
| 99051 |
|
21 |
21 |
$476.64 |
| 96161 |
|
122 |
115 |
$422.62 |
| 81025 |
|
33 |
25 |
$171.60 |
| 36415 |
Collection of venous blood by venipuncture |
78 |
65 |
$135.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$95.80 |
| 90670 |
|
150 |
138 |
$0.00 |
| 1160F |
|
116 |
94 |
$0.00 |
| 1159F |
|
306 |
272 |
$0.00 |
| 90698 |
|
144 |
131 |
$0.00 |
| 1036F |
|
132 |
118 |
$0.00 |
| 90680 |
|
77 |
71 |
$0.00 |
| 3008F |
|
371 |
320 |
$0.00 |
| 90744 |
|
12 |
12 |
$0.00 |