| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
254 |
$12K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
151 |
149 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
74 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
34 |
33 |
$2K |
| 92552 |
|
95 |
94 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
16 |
15 |
$952.80 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$929.64 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$837.27 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
142 |
140 |
$833.10 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
93 |
89 |
$735.87 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
40 |
40 |
$567.02 |
| 96127 |
|
70 |
69 |
$374.64 |
| 99173 |
|
98 |
97 |
$196.88 |
| 81003 |
|
91 |
90 |
$149.60 |
| 36416 |
|
146 |
141 |
$2.32 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90633 |
|
12 |
12 |
$0.00 |
| 90685 |
|
16 |
16 |
$0.00 |
| 3008F |
|
342 |
323 |
$0.00 |
| 99000 |
|
27 |
27 |
$0.00 |
| 90688 |
|
18 |
18 |
$0.00 |
| 90686 |
|
81 |
80 |
$0.00 |