| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
913 |
811 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
223 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
132 |
120 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
105 |
101 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
413 |
382 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
380 |
173 |
$5K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
55 |
53 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
19 |
$2K |
| 90670 |
|
75 |
73 |
$1K |
| 81003 |
|
326 |
307 |
$837.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
266 |
247 |
$719.74 |
| 36415 |
Collection of venous blood by venipuncture |
232 |
212 |
$607.57 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
71 |
68 |
$579.14 |
| 99177 |
|
117 |
110 |
$449.57 |
| 87807 |
|
30 |
20 |
$367.75 |
| 90647 |
|
32 |
29 |
$339.94 |
| 90461 |
|
134 |
125 |
$280.65 |
| 90723 |
|
24 |
24 |
$256.30 |
| 99173 |
|
103 |
100 |
$256.29 |
| 90633 |
|
14 |
14 |
$222.44 |
| 90715 |
|
15 |
14 |
$177.89 |
| 90651 |
|
14 |
14 |
$155.10 |
| 85018 |
|
13 |
13 |
$37.44 |
| 99000 |
|
210 |
195 |
$7.72 |
| 94760 |
|
143 |
118 |
$2.82 |
| 1101F |
|
19 |
15 |
$0.00 |