| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,454 |
7,117 |
$333K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,332 |
2,908 |
$204K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,844 |
2,379 |
$117K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,443 |
2,145 |
$92K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
997 |
904 |
$71K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
4,949 |
2,174 |
$63K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
4,543 |
4,010 |
$58K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
856 |
704 |
$51K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
341 |
300 |
$25K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,707 |
2,186 |
$24K |
| 99177 |
|
1,979 |
1,661 |
$17K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
220 |
165 |
$17K |
| 96127 |
|
2,289 |
1,901 |
$13K |
| 80061 |
Lipid panel |
907 |
730 |
$13K |
| 92551 |
|
1,566 |
1,300 |
$11K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
67 |
55 |
$10K |
| 36416 |
|
2,425 |
1,918 |
$5K |
| 81003 |
|
1,967 |
1,601 |
$4K |
| 96160 |
|
474 |
352 |
$3K |
| 87807 |
|
272 |
260 |
$3K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
289 |
252 |
$3K |
| 94010 |
|
80 |
67 |
$2K |
| 94760 |
|
3,530 |
3,066 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
69 |
60 |
$2K |
| 90670 |
|
521 |
434 |
$2K |
| 83655 |
|
100 |
94 |
$1K |
| 90734 |
|
62 |
47 |
$867.69 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$836.67 |
| 90688 |
|
44 |
35 |
$805.55 |
| 90716 |
|
107 |
96 |
$646.40 |
| 90686 |
|
743 |
685 |
$536.61 |
| 90707 |
|
107 |
96 |
$373.74 |
| 90651 |
|
54 |
39 |
$294.18 |
| 99173 |
|
38 |
33 |
$239.56 |
| 90723 |
|
174 |
155 |
$214.35 |
| 36415 |
Collection of venous blood by venipuncture |
96 |
83 |
$212.74 |
| 90647 |
|
205 |
166 |
$139.20 |
| 90633 |
|
81 |
72 |
$131.01 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
31 |
31 |
$61.17 |
| 90696 |
|
17 |
15 |
$55.91 |
| 94150 |
|
379 |
323 |
$37.86 |
| 99000 |
|
3,624 |
3,154 |
$11.61 |
| 99051 |
|
39 |
37 |
$0.00 |
| 90681 |
|
17 |
13 |
$0.00 |