| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,819 |
5,499 |
$662K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,002 |
830 |
$91K |
| W0037 |
|
1,999 |
1,999 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
209 |
192 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
193 |
174 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
142 |
133 |
$14K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
101 |
96 |
$10K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
188 |
105 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
87 |
86 |
$10K |
| 99307 |
|
173 |
113 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
273 |
266 |
$3K |
| 36415 |
Collection of venous blood by venipuncture |
163 |
141 |
$2K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
14 |
$1K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
132 |
131 |
$1K |
| 90686 |
|
53 |
42 |
$849.45 |
| 90651 |
|
42 |
42 |
$321.12 |
| J0561 |
Injection, penicillin g benzathine, 100,000 units |
29 |
24 |
$226.20 |
| 90656 |
|
36 |
35 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
17 |
15 |
$0.00 |