| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,569 |
7,591 |
$491K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
586 |
508 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
296 |
279 |
$25K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,508 |
729 |
$24K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
751 |
734 |
$12K |
| 71046 |
Radiologic examination, chest; 2 views |
210 |
195 |
$9K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
98 |
91 |
$8K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,105 |
1,034 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
130 |
125 |
$7K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
56 |
51 |
$5K |
| 99460 |
|
37 |
37 |
$4K |
| 36415 |
Collection of venous blood by venipuncture |
1,592 |
1,463 |
$3K |
| 90670 |
|
147 |
145 |
$3K |
| 90686 |
|
236 |
229 |
$3K |
| 90698 |
|
122 |
119 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
28 |
28 |
$2K |
| 87420 |
|
111 |
102 |
$2K |
| 90680 |
|
69 |
69 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
44 |
44 |
$1K |
| 90744 |
|
40 |
40 |
$772.98 |
| 81002 |
|
298 |
258 |
$755.26 |
| 85018 |
|
273 |
230 |
$641.67 |
| 81000 |
|
83 |
79 |
$274.62 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
14 |
14 |
$175.92 |
| 80061 |
Lipid panel |
14 |
14 |
$148.77 |
| 90685 |
|
15 |
14 |
$128.52 |
| 36416 |
|
489 |
425 |
$0.00 |