| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,885 |
1,435 |
$50K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,033 |
803 |
$44K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
410 |
359 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
104 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
234 |
203 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
86 |
80 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
46 |
42 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
343 |
298 |
$3K |
| 90686 |
|
202 |
177 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$744.66 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
63 |
43 |
$477.29 |
| 99000 |
|
216 |
174 |
$219.23 |
| 90656 |
|
49 |
46 |
$149.99 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$115.92 |
| 36416 |
|
416 |
360 |
$90.31 |