| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,670 |
6,418 |
$314K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
5,120 |
3,254 |
$182K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,362 |
2,088 |
$146K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,782 |
1,385 |
$126K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
8,434 |
2,307 |
$123K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,722 |
1,383 |
$106K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
806 |
645 |
$57K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,848 |
3,820 |
$47K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
2,605 |
1,158 |
$32K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,101 |
1,872 |
$26K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
224 |
217 |
$23K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
283 |
203 |
$22K |
| 87631 |
|
132 |
124 |
$20K |
| 99173 |
|
1,798 |
1,386 |
$15K |
| 99381 |
|
210 |
190 |
$15K |
| 92558 |
|
2,001 |
1,538 |
$14K |
| 36416 |
|
4,923 |
3,884 |
$13K |
| 83655 |
|
831 |
638 |
$13K |
| 96160 |
|
541 |
404 |
$13K |
| 96127 |
|
1,623 |
1,241 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
339 |
304 |
$10K |
| 80061 |
Lipid panel |
569 |
443 |
$8K |
| 87807 |
|
656 |
596 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
150 |
145 |
$6K |
| 81003 |
|
2,387 |
1,873 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
38 |
$3K |
| 94760 |
|
431 |
357 |
$2K |
| 92587 |
|
45 |
43 |
$2K |
| 96161 |
|
87 |
73 |
$2K |
| 90670 |
|
1,246 |
911 |
$1K |
| 90716 |
|
442 |
339 |
$1K |
| 90651 |
|
22 |
12 |
$818.64 |
| 90707 |
|
440 |
333 |
$768.71 |
| 86308 |
|
136 |
126 |
$706.24 |
| 99401 |
|
14 |
14 |
$453.61 |
| 90633 |
|
661 |
455 |
$429.20 |
| 90648 |
|
1,241 |
909 |
$151.66 |
| 90680 |
|
649 |
491 |
$110.31 |
| 90723 |
|
1,021 |
754 |
$104.67 |
| 90686 |
|
181 |
152 |
$66.75 |
| 90700 |
|
42 |
38 |
$63.12 |
| 90733 |
|
43 |
28 |
$0.00 |
| 90696 |
|
17 |
15 |
$0.00 |
| 90461 |
|
55 |
34 |
$0.00 |
| 90715 |
|
17 |
15 |
$0.00 |
| 90658 |
|
13 |
13 |
$0.00 |