| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
471 |
466 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
308 |
301 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
130 |
129 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
137 |
135 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
88 |
88 |
$8K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
42 |
42 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
211 |
208 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
32 |
32 |
$3K |
| 87070 |
|
192 |
190 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
44 |
44 |
$1K |
| 99429 |
|
193 |
68 |
$825.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
52 |
51 |
$507.47 |
| 96127 |
|
90 |
90 |
$411.67 |
| 36415 |
Collection of venous blood by venipuncture |
82 |
80 |
$353.00 |
| 83036 |
Hemoglobin; glycosylated (A1C) |
15 |
15 |
$186.66 |
| 85018 |
|
44 |
44 |
$131.12 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
249 |
221 |
$0.65 |
| 90670 |
|
31 |
31 |
$0.00 |
| 90648 |
|
32 |
32 |
$0.00 |
| 90686 |
|
71 |
71 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |