| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,189 |
1,815 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
614 |
527 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,440 |
1,368 |
$27K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,786 |
1,663 |
$25K |
| 92587 |
|
682 |
681 |
$11K |
| 83655 |
|
195 |
195 |
$6K |
| 99401 |
|
747 |
731 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
72 |
$4K |
| 3008F |
|
913 |
874 |
$4K |
| 96127 |
|
1,579 |
1,508 |
$4K |
| 90461 |
|
168 |
167 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
417 |
367 |
$4K |
| 92551 |
|
499 |
447 |
$3K |
| 87070 |
|
414 |
362 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
51 |
50 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,009 |
977 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
40 |
40 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
207 |
173 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
26 |
26 |
$1K |
| 90686 |
|
138 |
123 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$849.12 |
| 99173 |
|
554 |
536 |
$519.48 |
| 99177 |
|
136 |
136 |
$386.93 |
| 99174 |
|
172 |
172 |
$22.95 |
| 36415 |
Collection of venous blood by venipuncture |
12 |
12 |
$20.08 |
| 99072 |
|
49 |
49 |
$0.00 |
| 81002 |
|
12 |
12 |
$0.00 |
| 99000 |
|
503 |
461 |
$0.00 |