| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,614 |
3,314 |
$176K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
2,266 |
2,166 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
515 |
461 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
161 |
$13K |
| 92587 |
|
316 |
315 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
72 |
70 |
$7K |
| 82948 |
|
1,728 |
1,662 |
$7K |
| 81002 |
|
1,975 |
1,878 |
$6K |
| 81025 |
|
281 |
265 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
14 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
55 |
55 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 86580 |
|
67 |
67 |
$555.62 |
| 94760 |
|
79 |
73 |
$472.16 |
| 99173 |
|
196 |
196 |
$297.86 |
| 93000 |
|
12 |
12 |
$232.39 |
| 36415 |
Collection of venous blood by venipuncture |
1,339 |
1,279 |
$4.05 |
| 3008F |
|
132 |
125 |
$0.00 |