| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,954 |
3,606 |
$205K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
728 |
675 |
$55K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
746 |
735 |
$24K |
| 86403 |
|
2,547 |
2,392 |
$16K |
| 92550 |
|
1,472 |
1,368 |
$15K |
| 87070 |
|
2,541 |
2,385 |
$12K |
| 92587 |
|
416 |
414 |
$9K |
| 87184 |
|
2,562 |
2,406 |
$9K |
| 92568 |
|
1,274 |
1,177 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
85 |
84 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
132 |
130 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
355 |
214 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
54 |
53 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
150 |
149 |
$3K |
| 92551 |
|
347 |
346 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
37 |
37 |
$2K |
| 97802 |
|
306 |
302 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
419 |
415 |
$2K |
| 99441 |
|
37 |
35 |
$765.03 |
| 96127 |
|
222 |
219 |
$658.76 |
| 81002 |
|
238 |
236 |
$494.80 |
| 99173 |
|
335 |
334 |
$418.29 |
| 85018 |
|
136 |
136 |
$225.20 |
| 92015 |
Determination of refractive state |
396 |
392 |
$216.06 |
| 36410 |
|
55 |
55 |
$168.39 |
| 90686 |
|
113 |
113 |
$145.35 |
| 36415 |
Collection of venous blood by venipuncture |
26 |
26 |
$19.59 |
| 99070 |
|
766 |
712 |
$0.00 |