| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,851 |
1,605 |
$68K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
981 |
898 |
$50K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,724 |
2,264 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,832 |
1,174 |
$28K |
| 99215 |
Prolong outpt/office vis |
336 |
314 |
$26K |
| 82810 |
|
1,045 |
989 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,042 |
986 |
$7K |
| 92552 |
|
257 |
246 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
58 |
58 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
88 |
84 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
101 |
100 |
$2K |
| 81000 |
|
417 |
400 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
15 |
15 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
14 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$855.25 |
| 99000 |
|
55 |
55 |
$432.00 |
| 99050 |
|
13 |
13 |
$194.48 |
| 90473 |
|
16 |
16 |
$109.76 |
| 90686 |
|
296 |
289 |
$54.42 |
| 90660 |
|
16 |
16 |
$24.65 |
| 90685 |
|
29 |
27 |
$0.00 |
| 90700 |
|
36 |
36 |
$0.00 |
| 90713 |
|
12 |
12 |
$0.00 |
| 97802 |
|
939 |
927 |
$0.00 |
| 36416 |
|
34 |
30 |
$0.00 |