| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
709 |
672 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
252 |
$20K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
209 |
206 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
268 |
264 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
147 |
142 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
791 |
418 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
82 |
73 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
90 |
89 |
$5K |
| 99381 |
|
12 |
12 |
$845.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
67 |
64 |
$805.62 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
33 |
$575.92 |
| 83655 |
|
15 |
15 |
$152.55 |
| 99000 |
|
14 |
13 |
$108.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$58.99 |
| 90461 |
|
345 |
297 |
$40.56 |
| 90677 |
|
33 |
32 |
$0.10 |
| 90697 |
|
92 |
87 |
$0.05 |
| 90710 |
|
18 |
18 |
$0.00 |
| 90670 |
|
144 |
139 |
$0.00 |
| 90707 |
|
26 |
24 |
$0.00 |
| 90633 |
|
67 |
65 |
$0.00 |
| 90700 |
|
29 |
29 |
$0.00 |
| 90734 |
|
15 |
14 |
$0.00 |
| 90696 |
|
18 |
17 |
$0.00 |
| 90680 |
|
102 |
100 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
79 |
76 |
$0.00 |
| 90716 |
|
12 |
12 |
$0.00 |