| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,044 |
1,797 |
$164K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,378 |
1,195 |
$75K |
| 99215 |
Prolong outpt/office vis |
442 |
372 |
$48K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,289 |
2,050 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
266 |
263 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
229 |
206 |
$18K |
| 99070 |
|
1,885 |
1,618 |
$17K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
247 |
243 |
$16K |
| 69210 |
|
315 |
281 |
$13K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
360 |
355 |
$13K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
515 |
508 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
700 |
680 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
134 |
129 |
$9K |
| 80061 |
Lipid panel |
465 |
440 |
$7K |
| 99354 |
|
65 |
55 |
$5K |
| D0145 |
Oral evaluation for a patient under three years of age |
175 |
173 |
$4K |
| 87081 |
|
630 |
612 |
$4K |
| 94010 |
|
163 |
125 |
$4K |
| 94150 |
|
232 |
156 |
$4K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
269 |
$2K |
| D1206 |
Topical application of fluoride varnish |
174 |
173 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
57 |
48 |
$722.78 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
44 |
$593.46 |
| 90686 |
|
94 |
93 |
$99.30 |
| 92551 |
|
243 |
235 |
$65.12 |
| 81002 |
|
15 |
14 |
$44.10 |
| 99173 |
|
217 |
210 |
$12.00 |
| 96161 |
|
13 |
13 |
$3.74 |
| 90723 |
|
30 |
30 |
$0.00 |
| 90648 |
|
110 |
110 |
$0.00 |
| 90670 |
|
142 |
142 |
$0.00 |