| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
5,537 |
4,919 |
$374K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,352 |
4,672 |
$265K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,108 |
2,912 |
$63K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
514 |
510 |
$40K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
323 |
323 |
$26K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,329 |
2,212 |
$10K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
623 |
312 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
205 |
200 |
$8K |
| 99051 |
|
597 |
579 |
$5K |
| 85018 |
|
1,565 |
1,562 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$4K |
| 81002 |
|
965 |
955 |
$2K |
| 99406 |
|
243 |
243 |
$1K |
| 86403 |
|
357 |
333 |
$1K |
| 88738 |
|
444 |
444 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$980.44 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
282 |
282 |
$913.65 |
| 4124F |
|
56 |
55 |
$838.46 |
| 99050 |
|
106 |
103 |
$837.59 |
| 36415 |
Collection of venous blood by venipuncture |
282 |
281 |
$643.16 |
| 96127 |
|
285 |
285 |
$113.05 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
12 |
12 |
$94.56 |
| 90686 |
|
339 |
337 |
$58.65 |
| 90672 |
|
47 |
47 |
$55.17 |