| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
794 |
702 |
$35K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
579 |
544 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
257 |
247 |
$19K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
284 |
253 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
154 |
151 |
$11K |
| 69210 |
|
212 |
133 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
218 |
202 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
64 |
62 |
$5K |
| 92551 |
|
418 |
410 |
$3K |
| 99173 |
|
426 |
418 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
112 |
106 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$951.37 |
| 36415 |
Collection of venous blood by venipuncture |
412 |
401 |
$922.47 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
42 |
20 |
$554.98 |
| 36416 |
|
264 |
250 |
$464.74 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
18 |
14 |
$390.98 |
| 99000 |
|
774 |
741 |
$0.00 |
| 90723 |
|
130 |
125 |
$0.00 |
| 90647 |
|
180 |
167 |
$0.00 |
| 99058 |
|
87 |
81 |
$0.00 |
| 90716 |
|
98 |
95 |
$0.00 |
| 90686 |
|
23 |
16 |
$0.00 |
| 90707 |
|
65 |
57 |
$0.00 |
| 90670 |
|
245 |
227 |
$0.00 |
| 90633 |
|
112 |
106 |
$0.00 |
| 90715 |
|
13 |
13 |
$0.00 |
| 90681 |
|
48 |
46 |
$0.00 |
| 90649 |
|
51 |
50 |
$0.00 |
| 90734 |
|
31 |
30 |
$0.00 |