| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
742 |
721 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
324 |
324 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
321 |
294 |
$24K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
261 |
261 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
136 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
122 |
118 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
444 |
441 |
$4K |
| 90670 |
|
239 |
239 |
$3K |
| 90648 |
|
237 |
237 |
$3K |
| 83655 |
|
183 |
183 |
$3K |
| 90723 |
|
181 |
181 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
140 |
140 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
118 |
58 |
$2K |
| 90633 |
|
101 |
101 |
$1K |
| 90686 |
|
77 |
77 |
$981.72 |
| 90681 |
|
62 |
62 |
$769.15 |
| 90734 |
|
43 |
40 |
$558.59 |
| 90651 |
|
32 |
32 |
$344.30 |
| 90696 |
|
27 |
27 |
$308.05 |
| 90710 |
|
27 |
27 |
$308.05 |
| 92551 |
|
12 |
12 |
$128.37 |