| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
518 |
$30K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
402 |
350 |
$30K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
189 |
186 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
150 |
150 |
$12K |
| 90670 |
|
225 |
225 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
302 |
292 |
$3K |
| 90648 |
|
226 |
226 |
$3K |
| 90723 |
|
185 |
185 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
41 |
38 |
$2K |
| 83655 |
|
107 |
102 |
$1K |
| 90681 |
|
85 |
85 |
$1K |
| 99460 |
|
12 |
12 |
$948.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
44 |
43 |
$592.05 |
| 90686 |
|
48 |
48 |
$532.19 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
17 |
$493.32 |
| 90633 |
|
26 |
26 |
$311.40 |
| 81003 |
|
27 |
25 |
$66.11 |