| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,146 |
1,021 |
$61K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
540 |
420 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
747 |
631 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
410 |
389 |
$33K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
977 |
725 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
110 |
$10K |
| 96161 |
|
416 |
302 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
31 |
$3K |
| 92551 |
|
246 |
229 |
$2K |
| 99177 |
|
303 |
286 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
142 |
133 |
$2K |
| 96127 |
|
298 |
196 |
$1K |
| 99381 |
|
13 |
13 |
$1K |
| 83655 |
|
92 |
84 |
$1K |
| 87807 |
|
92 |
81 |
$1K |
| 90670 |
|
426 |
333 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
69 |
$861.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
50 |
48 |
$569.42 |
| 36416 |
|
370 |
311 |
$490.78 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
13 |
$461.55 |
| 3008F |
|
427 |
398 |
$210.00 |
| 90723 |
|
325 |
232 |
$209.34 |
| 82247 |
|
40 |
28 |
$207.04 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
28 |
27 |
$202.47 |
| 90716 |
|
14 |
14 |
$180.73 |
| 80061 |
Lipid panel |
13 |
13 |
$149.82 |
| 90680 |
|
308 |
217 |
$110.31 |
| 90633 |
|
155 |
145 |
$87.88 |
| 90647 |
|
309 |
246 |
$69.60 |
| 82962 |
|
13 |
13 |
$30.32 |
| 90686 |
|
70 |
69 |
$22.25 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |