| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,144 |
972 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
572 |
485 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
223 |
195 |
$6K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
975 |
856 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
131 |
116 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
182 |
172 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
166 |
150 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
377 |
203 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
406 |
374 |
$3K |
| 92558 |
|
291 |
266 |
$843.77 |
| 99173 |
|
367 |
333 |
$798.52 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
54 |
50 |
$424.59 |
| 81003 |
|
513 |
465 |
$395.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
33 |
27 |
$278.75 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
127 |
74 |
$205.95 |
| 90686 |
|
61 |
58 |
$89.00 |
| 90461 |
|
39 |
27 |
$0.00 |
| 3078F |
|
283 |
257 |
$0.00 |
| 1160F |
|
34 |
33 |
$0.00 |
| 1159F |
|
34 |
33 |
$0.00 |
| 3008F |
|
771 |
713 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
62 |
54 |
$0.00 |
| 3074F |
|
285 |
260 |
$0.00 |
| 92551 |
|
69 |
63 |
$0.00 |