| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,225 |
1,062 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
358 |
331 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
583 |
319 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
224 |
201 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
105 |
96 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
382 |
346 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
36 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
116 |
111 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
21 |
17 |
$1K |
| 36416 |
|
367 |
330 |
$994.29 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
76 |
34 |
$972.16 |
| 92552 |
|
35 |
35 |
$499.29 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
15 |
12 |
$436.49 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
37 |
37 |
$320.88 |
| 99177 |
|
30 |
27 |
$301.08 |
| 92551 |
|
50 |
48 |
$277.13 |
| 99173 |
|
25 |
24 |
$159.84 |
| 90461 |
|
102 |
81 |
$0.00 |
| 90686 |
|
37 |
37 |
$0.00 |
| 90688 |
|
19 |
19 |
$0.00 |