| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14,405 |
12,847 |
$565K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,164 |
2,912 |
$184K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,815 |
4,392 |
$134K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
2,920 |
2,848 |
$89K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
692 |
685 |
$53K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
716 |
697 |
$53K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
565 |
547 |
$37K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,010 |
873 |
$28K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,411 |
1,351 |
$21K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
636 |
591 |
$19K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
747 |
736 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
53 |
53 |
$5K |
| 90686 |
|
617 |
611 |
$4K |
| 90670 |
|
237 |
230 |
$2K |
| 85018 |
|
894 |
873 |
$2K |
| 90633 |
|
68 |
68 |
$1K |
| 96127 |
|
211 |
203 |
$889.97 |
| 90685 |
|
51 |
50 |
$685.99 |
| 36416 |
|
1,717 |
1,673 |
$636.42 |
| 90698 |
|
131 |
125 |
$617.84 |
| 83655 |
|
36 |
36 |
$485.22 |
| 87807 |
|
40 |
39 |
$466.04 |
| 81003 |
|
26 |
25 |
$29.23 |
| 888888 |
|
28 |
28 |
$0.00 |
| 90681 |
|
13 |
12 |
$0.00 |
| 91307 |
|
18 |
16 |
$0.00 |
| 99000 |
|
31 |
29 |
$0.00 |