| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,932 |
1,494 |
$91K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
865 |
744 |
$63K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
274 |
243 |
$18K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
250 |
204 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
100 |
84 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
166 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
79 |
79 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
566 |
492 |
$6K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
19 |
16 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
344 |
184 |
$3K |
| 90670 |
|
180 |
153 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
34 |
$3K |
| 99383 |
|
30 |
26 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
351 |
313 |
$2K |
| 90648 |
|
174 |
149 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
64 |
53 |
$1K |
| 90723 |
|
106 |
89 |
$1K |
| 90710 |
|
20 |
20 |
$626.91 |
| 90461 |
|
477 |
390 |
$449.51 |
| 90715 |
|
36 |
34 |
$368.85 |
| 90681 |
|
28 |
26 |
$340.32 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
667 |
528 |
$335.32 |
| 99000 |
|
95 |
91 |
$250.42 |
| 36415 |
Collection of venous blood by venipuncture |
406 |
345 |
$202.05 |
| 90633 |
|
14 |
14 |
$157.30 |
| 99050 |
|
25 |
23 |
$122.30 |
| 90651 |
|
13 |
12 |
$111.10 |
| 99051 |
|
801 |
695 |
$103.30 |
| 99173 |
|
29 |
27 |
$29.64 |