| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,944 |
5,210 |
$351K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,972 |
1,877 |
$64K |
| 92587 |
|
978 |
973 |
$29K |
| 99442 |
|
458 |
429 |
$22K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,105 |
2,007 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
162 |
$11K |
| 86403 |
|
1,471 |
1,411 |
$10K |
| 92551 |
|
1,248 |
1,240 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
144 |
144 |
$10K |
| 97802 |
|
1,414 |
1,401 |
$6K |
| 87070 |
|
1,546 |
1,479 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
349 |
225 |
$6K |
| 92550 |
|
442 |
409 |
$5K |
| 87184 |
|
1,457 |
1,395 |
$4K |
| 99051 |
|
562 |
526 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
52 |
52 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
421 |
417 |
$3K |
| 99429 |
|
33 |
33 |
$2K |
| 99173 |
|
761 |
755 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
27 |
$1K |
| 99072 |
|
768 |
663 |
$600.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
45 |
45 |
$315.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
45 |
45 |
$315.00 |
| 90461 |
|
13 |
12 |
$246.37 |
| 90686 |
|
68 |
68 |
$153.69 |
| 36415 |
Collection of venous blood by venipuncture |
109 |
108 |
$81.93 |
| 92568 |
|
12 |
12 |
$40.83 |
| 90688 |
|
17 |
17 |
$17.90 |
| 1159F |
|
134 |
128 |
$0.00 |
| 1160F |
|
135 |
129 |
$0.00 |
| 3078F |
|
28 |
27 |
$0.00 |
| 3008F |
|
106 |
102 |
$0.00 |
| 3074F |
|
28 |
27 |
$0.00 |
| 94760 |
|
78 |
75 |
$0.00 |
| 99000 |
|
32 |
27 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
26 |
$0.00 |