| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,528 |
1,385 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
707 |
678 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
860 |
493 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
350 |
334 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
204 |
97 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
103 |
102 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
178 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
31 |
30 |
$2K |
| 96127 |
|
570 |
534 |
$2K |
| 99172 |
|
105 |
101 |
$1K |
| 90686 |
|
261 |
258 |
$1K |
| 92552 |
|
107 |
102 |
$1K |
| 81002 |
|
305 |
289 |
$906.35 |
| 87070 |
|
66 |
65 |
$680.37 |
| 82465 |
|
120 |
119 |
$605.83 |
| 82947 |
|
118 |
117 |
$538.21 |
| 87807 |
|
13 |
12 |
$190.53 |
| 36416 |
|
339 |
324 |
$9.81 |
| 3008F |
|
262 |
252 |
$0.00 |