| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
515 |
489 |
$29K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
338 |
299 |
$26K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
215 |
212 |
$17K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
173 |
173 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
78 |
77 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
64 |
62 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
331 |
324 |
$3K |
| 90670 |
|
200 |
200 |
$3K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
46 |
45 |
$3K |
| 90648 |
|
194 |
194 |
$2K |
| 90723 |
|
159 |
157 |
$2K |
| 99460 |
|
13 |
12 |
$1K |
| 83655 |
|
59 |
57 |
$806.85 |
| 90686 |
|
50 |
50 |
$530.92 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
32 |
16 |
$465.60 |
| 90633 |
|
39 |
39 |
$459.35 |
| 90681 |
|
28 |
28 |
$314.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$189.15 |
| 90685 |
|
13 |
13 |
$152.33 |
| 90651 |
|
12 |
12 |
$149.10 |
| 36415 |
Collection of venous blood by venipuncture |
31 |
31 |
$97.65 |
| 81003 |
|
31 |
30 |
$84.63 |