| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,860 |
4,152 |
$285K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
739 |
712 |
$58K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
413 |
384 |
$34K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
413 |
384 |
$34K |
| J1050 |
Injection, medroxyprogesterone acetate, 1 mg |
211 |
209 |
$14K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
1,351 |
1,299 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
120 |
113 |
$9K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
112 |
103 |
$8K |
| 92551 |
|
1,052 |
1,013 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
431 |
417 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
120 |
107 |
$5K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
325 |
310 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
60 |
60 |
$4K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
225 |
222 |
$3K |
| 99177 |
|
651 |
636 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
37 |
28 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
26 |
$797.69 |
| 87428 |
|
12 |
12 |
$638.98 |
| 86701 |
|
73 |
69 |
$439.16 |
| 0001A |
|
12 |
12 |
$411.41 |
| 81025 |
|
83 |
77 |
$379.46 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$273.27 |
| 99173 |
|
145 |
125 |
$233.94 |