| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,133 |
1,820 |
$127K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
539 |
518 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
488 |
449 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
262 |
262 |
$23K |
| 71046 |
Radiologic examination, chest; 2 views |
509 |
476 |
$13K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
397 |
372 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
600 |
598 |
$10K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,282 |
1,199 |
$10K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
670 |
623 |
$9K |
| 83655 |
|
269 |
269 |
$3K |
| 92587 |
|
118 |
118 |
$2K |
| 86756 |
|
128 |
119 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 94010 |
|
33 |
31 |
$940.02 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
104 |
104 |
$825.85 |
| 93000 |
|
58 |
58 |
$798.90 |
| 96127 |
|
86 |
85 |
$418.49 |
| 74018 |
|
15 |
14 |
$326.55 |
| 99173 |
|
46 |
46 |
$115.72 |
| 86308 |
|
17 |
17 |
$89.42 |