| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,222 |
4,444 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
805 |
794 |
$2K |
| 99460 |
|
20 |
19 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,167 |
1,164 |
$244.32 |
| 90744 |
|
294 |
294 |
$85.00 |
| 92551 |
|
1,232 |
1,230 |
$60.60 |
| 99173 |
|
1,229 |
1,226 |
$18.86 |
| 90696 |
|
39 |
39 |
$0.00 |
| 90680 |
|
280 |
280 |
$0.00 |
| 3351F |
|
168 |
168 |
$0.00 |
| 90651 |
|
185 |
185 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
199 |
$0.00 |
| 90698 |
|
360 |
360 |
$0.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
110 |
107 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
96 |
96 |
$0.00 |
| 84443 |
Thyroid stimulating hormone (TSH) |
42 |
42 |
$0.00 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
16 |
12 |
$0.00 |
| 90716 |
|
216 |
216 |
$0.00 |
| 97802 |
|
253 |
253 |
$0.00 |
| 80053 |
Comprehensive metabolic panel |
79 |
77 |
$0.00 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$0.00 |
| 87086 |
Culture, bacterial; quantitative colony count, urine |
14 |
13 |
$0.00 |
| 84436 |
|
12 |
12 |
$0.00 |
| 90648 |
|
285 |
285 |
$0.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
222 |
221 |
$0.00 |
| 90713 |
|
118 |
118 |
$0.00 |
| 90715 |
|
170 |
170 |
$0.00 |
| 90633 |
|
422 |
422 |
$0.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
647 |
647 |
$0.00 |
| 90710 |
|
53 |
53 |
$0.00 |
| 90700 |
|
288 |
288 |
$0.00 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
378 |
377 |
$0.00 |
| 90734 |
|
154 |
154 |
$0.00 |
| 81002 |
|
92 |
84 |
$0.00 |
| 90707 |
|
220 |
220 |
$0.00 |
| 90670 |
|
677 |
677 |
$0.00 |
| 97803 |
|
28 |
28 |
$0.00 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
100 |
100 |
$0.00 |
| 99401 |
|
280 |
280 |
$0.00 |
| 81003 |
|
13 |
12 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
58 |
55 |
$0.00 |
| 83655 |
|
13 |
13 |
$0.00 |