| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
918 |
834 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
202 |
180 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
134 |
129 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
69 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
56 |
51 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
191 |
184 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
64 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
424 |
405 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
73 |
$1K |
| 90670 |
|
55 |
55 |
$1K |
| 90686 |
|
72 |
72 |
$867.57 |
| 96127 |
|
145 |
143 |
$748.81 |
| 90651 |
|
16 |
16 |
$702.77 |
| 90461 |
|
235 |
231 |
$689.66 |
| 90656 |
|
32 |
32 |
$633.32 |
| 90633 |
|
47 |
47 |
$607.52 |
| 85018 |
|
199 |
191 |
$558.72 |
| 90655 |
|
16 |
16 |
$283.52 |
| 36416 |
|
189 |
181 |
$201.02 |
| 81003 |
|
58 |
58 |
$155.61 |
| 99173 |
|
29 |
29 |
$75.11 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
20 |
20 |
$49.77 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$40.95 |
| 94760 |
|
228 |
199 |
$13.74 |
| 0001F |
|
593 |
537 |
$0.00 |
| 99000 |
|
57 |
56 |
$0.00 |
| 3008F |
|
17 |
17 |
$0.00 |