| Code | Description | Claims | Bene. Records | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,285 |
1,157 |
$56K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
652 |
589 |
$33K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,018 |
1,010 |
$17K |
| 97802 |
|
850 |
848 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
119 |
119 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
208 |
206 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
83 |
83 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
695 |
694 |
$3K |
| 92588 |
|
515 |
514 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
58 |
58 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
879 |
874 |
$3K |
| 99173 |
|
773 |
769 |
$2K |
| G0442 |
Annual alcohol misuse screening, 5 to 15 minutes |
175 |
175 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
128 |
110 |
$909.21 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
122 |
118 |
$691.31 |
| 81001 |
|
628 |
624 |
$576.32 |
| 94760 |
|
279 |
255 |
$281.05 |
| 81003 |
|
340 |
338 |
$262.94 |
| 96152 |
|
127 |
127 |
$236.58 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
142 |
142 |
$204.31 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
25 |
24 |
$198.01 |
| 90686 |
|
226 |
225 |
$164.31 |
| 90461 |
|
29 |
29 |
$147.15 |
| 87081 |
|
61 |
54 |
$94.19 |
| 99000 |
|
429 |
403 |
$89.77 |
| 92558 |
|
43 |
43 |
$27.36 |
| 1000F |
|
30 |
30 |
$0.00 |