| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,514 |
1,126 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,325 |
493 |
$12K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
125 |
76 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,283 |
630 |
$805.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
731 |
288 |
$749.36 |
| 87428 |
|
27 |
26 |
$735.00 |
| 81000 |
|
979 |
474 |
$274.60 |
| 87400 |
|
409 |
127 |
$157.92 |
| 96127 |
|
35 |
29 |
$65.40 |
| 36416 |
|
1,209 |
591 |
$1.00 |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
114 |
60 |
$0.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
243 |
86 |
$0.00 |
| 0071A |
|
19 |
19 |
$0.00 |
| 99050 |
|
130 |
37 |
$0.00 |
| 90686 |
|
24 |
13 |
$0.00 |
| 0072A |
|
19 |
19 |
$0.00 |
| 0001A |
|
18 |
13 |
$0.00 |