| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,433 |
1,234 |
$82K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
162 |
160 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
140 |
134 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
117 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
41 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
144 |
139 |
$2K |
| 90686 |
|
127 |
123 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
16 |
15 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
121 |
119 |
$1K |
| 90670 |
|
70 |
69 |
$943.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
68 |
32 |
$924.96 |
| 90648 |
|
73 |
73 |
$843.27 |
| 90633 |
|
44 |
43 |
$596.66 |
| 90621 |
|
21 |
21 |
$239.80 |
| 90651 |
|
18 |
17 |
$225.95 |
| 80053 |
Comprehensive metabolic panel |
15 |
15 |
$191.69 |
| 81001 |
|
57 |
49 |
$180.33 |
| 90734 |
|
14 |
13 |
$164.40 |
| 90715 |
|
12 |
12 |
$136.40 |
| 86580 |
|
19 |
18 |
$127.26 |
| 85018 |
|
41 |
36 |
$100.80 |
| 85014 |
|
41 |
36 |
$100.80 |
| 81003 |
|
23 |
22 |
$60.06 |