| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,483 |
3,041 |
$132K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,639 |
939 |
$15K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,213 |
1,109 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
188 |
144 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
594 |
555 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
467 |
222 |
$5K |
| 99173 |
|
308 |
297 |
$5K |
| 92551 |
|
332 |
320 |
$4K |
| 87081 |
|
349 |
322 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
53 |
53 |
$3K |
| 90686 |
|
392 |
369 |
$2K |
| 81002 |
|
541 |
506 |
$2K |
| 90672 |
|
16 |
16 |
$247.00 |
| 36416 |
|
921 |
836 |
$32.70 |
| 3008F |
|
375 |
369 |
$0.00 |
| 2014F |
|
25 |
25 |
$0.00 |