| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,009 |
1,820 |
$196K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
877 |
813 |
$89K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
432 |
424 |
$58K |
| 96127 |
|
495 |
487 |
$55K |
| 36415 |
Collection of venous blood by venipuncture |
237 |
232 |
$34K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
211 |
205 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
366 |
359 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
229 |
216 |
$23K |
| 87428 |
|
335 |
326 |
$23K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
247 |
242 |
$17K |
| 99051 |
|
123 |
121 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
234 |
228 |
$10K |
| 81002 |
|
67 |
64 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
97 |
94 |
$6K |
| 90677 |
|
35 |
35 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
160 |
157 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
42 |
42 |
$3K |
| 90633 |
|
27 |
26 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
246 |
240 |
$553.92 |
| 90461 |
|
163 |
157 |
$156.74 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
52 |
52 |
$8.31 |
| 90715 |
|
14 |
14 |
$0.00 |
| 90648 |
|
28 |
28 |
$0.00 |
| 90734 |
|
13 |
13 |
$0.00 |
| 90686 |
|
96 |
96 |
$0.00 |
| 90723 |
|
14 |
14 |
$0.00 |