| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,339 |
1,919 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
500 |
452 |
$39K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,053 |
1,008 |
$9K |
| 92521 |
|
111 |
108 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
411 |
388 |
$5K |
| 99215 |
Prolong outpt/office vis |
45 |
41 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
687 |
654 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
38 |
$3K |
| 92550 |
|
192 |
157 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
170 |
143 |
$2K |
| 99051 |
|
328 |
286 |
$2K |
| 36416 |
|
362 |
340 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 93000 |
|
105 |
105 |
$937.72 |
| 99401 |
|
150 |
142 |
$701.80 |
| 81002 |
|
234 |
229 |
$555.79 |
| 82947 |
|
160 |
152 |
$488.51 |
| 97802 |
|
238 |
226 |
$334.77 |
| 81003 |
|
186 |
164 |
$303.97 |
| 82465 |
|
44 |
44 |
$153.38 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
13 |
$144.98 |
| 36415 |
Collection of venous blood by venipuncture |
98 |
82 |
$142.02 |
| D0191 |
|
81 |
80 |
$90.00 |
| 96127 |
|
14 |
12 |
$42.03 |
| 82962 |
|
14 |
14 |
$33.22 |
| 99000 |
|
108 |
101 |
$26.00 |
| 96160 |
|
12 |
12 |
$24.31 |
| 90461 |
|
29 |
28 |
$0.00 |
| 90633 |
|
27 |
27 |
$0.00 |
| 99080 |
|
13 |
12 |
$0.00 |
| 94760 |
|
17 |
16 |
$0.00 |