| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,788 |
5,877 |
$262K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,179 |
861 |
$43K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,416 |
1,113 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
459 |
425 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
368 |
344 |
$22K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
185 |
183 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
765 |
566 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
881 |
837 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
918 |
806 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
186 |
177 |
$5K |
| 99177 |
|
708 |
678 |
$5K |
| 92558 |
|
565 |
543 |
$3K |
| 81002 |
|
486 |
446 |
$1K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
63 |
51 |
$932.91 |
| 85018 |
|
353 |
346 |
$776.62 |
| 81003 |
|
275 |
263 |
$516.62 |
| 83655 |
|
21 |
21 |
$302.25 |
| 86318 |
|
16 |
15 |
$289.75 |
| 90648 |
|
221 |
201 |
$0.00 |
| 90670 |
|
219 |
201 |
$0.00 |
| 90707 |
|
29 |
27 |
$0.00 |
| 90633 |
|
28 |
26 |
$0.00 |
| 90681 |
|
12 |
12 |
$0.00 |
| 90723 |
|
59 |
55 |
$0.00 |
| 90686 |
|
36 |
32 |
$0.00 |
| 90716 |
|
15 |
13 |
$0.00 |