| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22,460 |
17,885 |
$830K |
| 87428 |
|
6,165 |
5,710 |
$395K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
3,006 |
2,824 |
$217K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,171 |
2,128 |
$169K |
| 86769 |
|
4,103 |
3,869 |
$155K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,848 |
1,841 |
$147K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,712 |
1,688 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,542 |
1,470 |
$116K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
5,217 |
5,132 |
$57K |
| 87430 |
|
2,877 |
2,794 |
$40K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
3,408 |
2,487 |
$34K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
5,204 |
4,823 |
$33K |
| 87807 |
|
886 |
829 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
692 |
337 |
$10K |
| 81002 |
|
2,279 |
2,184 |
$6K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
76 |
74 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
294 |
281 |
$4K |
| 83655 |
|
407 |
405 |
$4K |
| 99381 |
|
24 |
24 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
206 |
204 |
$2K |
| 87400 |
|
68 |
32 |
$546.02 |
| 92567 |
|
25 |
25 |
$299.15 |
| 97169 |
|
13 |
12 |
$210.00 |
| 86318 |
|
13 |
13 |
$198.99 |
| 90686 |
|
1,703 |
1,691 |
$18.46 |
| 90680 |
|
773 |
773 |
$0.00 |
| 90723 |
|
40 |
40 |
$0.00 |
| 90651 |
|
249 |
248 |
$0.00 |
| 90620 |
|
150 |
150 |
$0.00 |
| 90698 |
|
226 |
226 |
$0.00 |
| 90647 |
|
73 |
73 |
$0.00 |
| 90697 |
|
83 |
83 |
$0.00 |
| 90696 |
|
30 |
30 |
$0.00 |
| 90713 |
|
13 |
13 |
$0.00 |
| 90670 |
|
865 |
861 |
$0.00 |
| 90710 |
|
55 |
55 |
$0.00 |
| 90685 |
|
232 |
230 |
$0.00 |
| 90671 |
|
417 |
416 |
$0.00 |
| 90633 |
|
582 |
578 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |
| 90734 |
|
197 |
197 |
$0.00 |
| 90700 |
|
120 |
118 |
$0.00 |
| 99051 |
|
47 |
46 |
$0.00 |
| 90715 |
|
26 |
26 |
$0.00 |