| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,021 |
912 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
156 |
$14K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
322 |
296 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
40 |
39 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
34 |
34 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 92551 |
|
187 |
181 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
21 |
21 |
$2K |
| 96127 |
|
227 |
221 |
$1K |
| 90686 |
|
99 |
98 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
84 |
41 |
$1K |
| 99174 |
|
142 |
135 |
$679.66 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
248 |
244 |
$357.48 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
34 |
33 |
$302.06 |
| 83655 |
|
20 |
20 |
$293.40 |
| 36415 |
Collection of venous blood by venipuncture |
77 |
76 |
$232.95 |
| 90461 |
|
59 |
58 |
$184.80 |
| 90670 |
|
12 |
12 |
$137.50 |
| 90648 |
|
12 |
12 |
$137.50 |
| 90734 |
|
12 |
12 |
$126.50 |
| 85018 |
|
27 |
26 |
$74.88 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
30 |
$34.65 |
| 99000 |
|
334 |
313 |
$22.98 |
| H0049 |
Alcohol and/or drug screening |
22 |
21 |
$21.75 |
| 36416 |
|
59 |
57 |
$8.74 |