| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,748 |
5,986 |
$401K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,732 |
1,732 |
$130K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
5,108 |
5,049 |
$114K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,484 |
1,483 |
$111K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
944 |
944 |
$78K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
914 |
872 |
$78K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
888 |
878 |
$60K |
| 97802 |
|
2,815 |
2,814 |
$21K |
| D0190 |
|
1,245 |
1,239 |
$18K |
| 83655 |
|
782 |
774 |
$9K |
| 99188 |
|
1,107 |
1,103 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
537 |
531 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,018 |
963 |
$7K |
| 36416 |
|
1,097 |
1,038 |
$5K |
| 92558 |
|
1,263 |
1,257 |
$3K |
| 99000 |
|
437 |
431 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
56 |
55 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
159 |
155 |
$2K |
| 85018 |
|
870 |
866 |
$2K |
| 96127 |
|
494 |
494 |
$1K |
| 99401 |
|
2,978 |
2,975 |
$1K |
| 0072A |
|
28 |
28 |
$1K |
| 0071A |
|
27 |
27 |
$1K |
| 0001A |
|
25 |
25 |
$946.25 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
136 |
136 |
$889.82 |
| 0002A |
|
21 |
20 |
$794.85 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
78 |
$742.44 |
| 99174 |
|
598 |
598 |
$628.03 |
| 36415 |
Collection of venous blood by venipuncture |
135 |
133 |
$605.89 |
| 99051 |
|
74 |
71 |
$295.00 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
14 |
12 |
$155.40 |
| 90685 |
|
195 |
194 |
$65.43 |
| 96160 |
|
16 |
16 |
$24.92 |
| 90686 |
|
1,516 |
1,513 |
$22.35 |
| 99072 |
|
1,359 |
1,251 |
$10.50 |
| 90677 |
|
58 |
58 |
$0.13 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
925 |
925 |
$0.00 |
| 90698 |
|
205 |
205 |
$0.00 |
| 90651 |
|
131 |
131 |
$0.00 |
| 90744 |
|
24 |
24 |
$0.00 |
| 90716 |
|
145 |
145 |
$0.00 |
| 90619 |
|
26 |
26 |
$0.00 |
| 90656 |
|
123 |
123 |
$0.00 |
| 1111F |
|
34 |
33 |
$0.00 |
| 90633 |
|
134 |
134 |
$0.00 |
| 90707 |
|
108 |
108 |
$0.00 |
| 90670 |
|
475 |
473 |
$0.00 |
| 90681 |
|
36 |
36 |
$0.00 |
| 90700 |
|
25 |
25 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |