| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
736 |
647 |
$42K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
351 |
331 |
$28K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
303 |
299 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
268 |
260 |
$20K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
71 |
$6K |
| 99188 |
|
193 |
186 |
$4K |
| 90670 |
|
259 |
255 |
$3K |
| 90648 |
|
248 |
246 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
20 |
20 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
180 |
90 |
$3K |
| 90686 |
|
207 |
205 |
$2K |
| 90723 |
|
174 |
173 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
79 |
73 |
$1K |
| 90633 |
|
67 |
67 |
$821.88 |
| 90710 |
|
31 |
31 |
$383.82 |
| 90681 |
|
25 |
25 |
$295.69 |
| 90696 |
|
13 |
13 |
$149.05 |
| 90707 |
|
12 |
12 |
$138.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
455 |
452 |
$108.00 |
| 36415 |
Collection of venous blood by venipuncture |
34 |
34 |
$102.16 |
| 90461 |
|
284 |
284 |
$0.00 |