| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,722 |
3,445 |
$158K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,239 |
2,099 |
$145K |
| 96160 |
|
5,875 |
3,766 |
$120K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,996 |
1,685 |
$90K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
2,090 |
1,798 |
$57K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
302 |
275 |
$20K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
817 |
644 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
157 |
118 |
$10K |
| 99173 |
|
1,252 |
1,093 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
77 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
79 |
74 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
157 |
155 |
$2K |
| 92551 |
|
261 |
230 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
23 |
21 |
$1K |
| 90686 |
|
285 |
218 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
54 |
54 |
$589.24 |
| 96127 |
|
129 |
115 |
$492.90 |
| 90461 |
|
515 |
434 |
$405.35 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$377.73 |
| 99050 |
|
14 |
14 |
$290.57 |
| 96161 |
|
22 |
12 |
$162.95 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
37 |
28 |
$155.10 |
| 36416 |
|
52 |
40 |
$47.76 |