| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,252 |
2,448 |
$118K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,581 |
1,201 |
$72K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,790 |
2,270 |
$38K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
351 |
317 |
$9K |
| 85027 |
|
1,374 |
1,152 |
$9K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
344 |
268 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
1,884 |
1,565 |
$5K |
| 99215 |
Prolong outpt/office vis |
34 |
28 |
$3K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
463 |
369 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
145 |
135 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 90686 |
|
106 |
85 |
$885.73 |
| 87400 |
|
33 |
32 |
$366.79 |
| 81003 |
|
114 |
102 |
$229.92 |
| 90700 |
|
12 |
12 |
$20.96 |
| 99072 |
|
17 |
15 |
$0.00 |