| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,473 |
4,615 |
$365K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
1,289 |
1,205 |
$124K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,595 |
2,396 |
$118K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,005 |
950 |
$93K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
3,062 |
2,876 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
137 |
131 |
$13K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
745 |
692 |
$11K |
| G0306 |
Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count |
1,424 |
1,324 |
$8K |
| 90461 |
|
1,527 |
1,418 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
362 |
323 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
43 |
$5K |
| 81002 |
|
1,203 |
1,149 |
$4K |
| 36416 |
|
2,519 |
2,345 |
$3K |
| 92551 |
|
802 |
744 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
183 |
173 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
12 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
12 |
12 |
$217.34 |
| 97802 |
|
1,576 |
1,453 |
$39.89 |
| 90670 |
|
652 |
610 |
$0.00 |
| 83655 |
|
14 |
14 |
$0.00 |
| 90680 |
|
195 |
191 |
$0.00 |
| 90698 |
|
613 |
571 |
$0.00 |
| 90686 |
|
339 |
286 |
$0.00 |
| 90744 |
|
101 |
97 |
$0.00 |