| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,113 |
1,000 |
$63K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
496 |
466 |
$42K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
438 |
422 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
64 |
63 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
258 |
128 |
$4K |
| 92551 |
|
219 |
218 |
$2K |
| 96127 |
|
372 |
357 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
25 |
$2K |
| 90686 |
|
118 |
118 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
15 |
15 |
$1K |
| 99174 |
|
225 |
224 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
30 |
26 |
$926.91 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
48 |
46 |
$750.74 |
| 90670 |
|
30 |
30 |
$656.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
79 |
$648.01 |
| 83655 |
|
29 |
29 |
$396.09 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
310 |
306 |
$393.91 |
| 90461 |
|
100 |
100 |
$232.64 |
| 90633 |
|
15 |
14 |
$183.23 |
| 85018 |
|
63 |
62 |
$170.40 |
| 36415 |
Collection of venous blood by venipuncture |
56 |
55 |
$170.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$92.40 |
| 81003 |
|
27 |
27 |
$68.28 |
| 99000 |
|
446 |
420 |
$27.02 |
| 36416 |
|
114 |
111 |
$9.90 |
| H0049 |
Alcohol and/or drug screening |
12 |
12 |
$0.00 |