| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,598 |
1,345 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,015 |
879 |
$63K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
509 |
420 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,682 |
632 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
367 |
329 |
$25K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
682 |
576 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
328 |
163 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
382 |
307 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$2K |
| 96161 |
|
86 |
74 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
121 |
98 |
$996.72 |
| 90670 |
|
259 |
217 |
$649.20 |
| 99173 |
|
145 |
128 |
$540.75 |
| 90723 |
|
145 |
122 |
$311.13 |
| 87807 |
|
23 |
23 |
$243.47 |
| 90680 |
|
95 |
79 |
$243.20 |
| 36416 |
|
144 |
105 |
$191.04 |
| 83655 |
|
20 |
14 |
$178.44 |
| 90461 |
|
1,356 |
403 |
$135.12 |
| 90686 |
|
168 |
143 |
$75.02 |
| 81003 |
|
24 |
13 |
$31.57 |
| 90647 |
|
68 |
60 |
$23.13 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$20.00 |
| 90685 |
|
32 |
32 |
$0.01 |
| 99000 |
|
355 |
287 |
$0.00 |
| 90716 |
|
15 |
12 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90707 |
|
15 |
12 |
$0.00 |