| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,665 |
3,186 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,528 |
1,392 |
$74K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,067 |
2,046 |
$61K |
| 0202U |
Oncology (prostate), multianalyte, gene expression profiling |
230 |
224 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
497 |
496 |
$23K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,151 |
1,100 |
$21K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
490 |
481 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,200 |
646 |
$18K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
200 |
198 |
$11K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,864 |
1,809 |
$9K |
| 99051 |
|
615 |
589 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
60 |
60 |
$3K |
| 92588 |
|
210 |
209 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
704 |
701 |
$3K |
| 83655 |
|
350 |
348 |
$3K |
| 96127 |
|
605 |
602 |
$2K |
| 99174 |
|
190 |
190 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
91 |
86 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
160 |
147 |
$1K |
| 87070 |
|
160 |
147 |
$776.73 |
| 92568 |
|
61 |
58 |
$630.44 |
| 87081 |
|
160 |
147 |
$603.28 |
| 97802 |
|
401 |
400 |
$599.77 |
| 96161 |
|
508 |
504 |
$566.22 |
| 36415 |
Collection of venous blood by venipuncture |
526 |
516 |
$486.97 |
| 90686 |
|
211 |
210 |
$288.89 |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
13 |
13 |
$261.43 |
| 87581 |
|
13 |
13 |
$261.43 |
| 87486 |
|
13 |
13 |
$261.43 |
| 92567 |
|
61 |
58 |
$213.11 |
| 81002 |
|
99 |
97 |
$174.41 |
| 99401 |
|
80 |
80 |
$78.77 |
| 99000 |
|
488 |
476 |
$55.88 |
| 36416 |
|
574 |
551 |
$7.95 |
| 90461 |
|
12 |
12 |
$0.00 |