| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
445 |
411 |
$17K |
| 99242 |
|
87 |
80 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
109 |
102 |
$6K |
| 97802 |
|
335 |
311 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
469 |
166 |
$4K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
47 |
45 |
$3K |
| 99000 |
|
264 |
245 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
57 |
54 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
15 |
14 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
132 |
130 |
$1K |
| S9441 |
Asthma education, non-physician provider, per session |
36 |
34 |
$467.77 |
| 92552 |
|
122 |
118 |
$447.14 |
| 90461 |
|
62 |
53 |
$438.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
60 |
40 |
$432.88 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
26 |
26 |
$251.93 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
15 |
$233.36 |
| 98960 |
|
36 |
34 |
$181.51 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$161.94 |
| 99401 |
|
391 |
367 |
$145.56 |
| 87081 |
|
15 |
15 |
$97.07 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
18 |
18 |
$17.00 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
17 |
16 |
$16.00 |
| 82947 |
|
12 |
12 |
$8.44 |
| 36416 |
|
58 |
57 |
$8.09 |
| 90686 |
|
16 |
16 |
$0.00 |
| 1005F |
|
36 |
34 |
$0.00 |
| 36415 |
Collection of venous blood by venipuncture |
16 |
15 |
$0.00 |
| 99173 |
|
125 |
120 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
195 |
176 |
$0.00 |