| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,423 |
1,300 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
647 |
618 |
$55K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
240 |
235 |
$19K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
199 |
188 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
127 |
112 |
$10K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
122 |
$9K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
439 |
428 |
$6K |
| 90686 |
|
402 |
400 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
278 |
132 |
$4K |
| 90651 |
|
77 |
68 |
$3K |
| 90734 |
|
63 |
61 |
$2K |
| 90670 |
|
145 |
138 |
$2K |
| 81003 |
|
654 |
616 |
$2K |
| 85014 |
|
561 |
530 |
$1K |
| 90716 |
|
78 |
73 |
$1K |
| 90707 |
|
65 |
60 |
$828.09 |
| 90698 |
|
72 |
67 |
$757.90 |
| 83655 |
|
51 |
49 |
$690.13 |
| 90633 |
|
57 |
55 |
$671.83 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
929 |
886 |
$656.43 |
| 90700 |
|
43 |
41 |
$492.54 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
374 |
358 |
$418.60 |
| 90715 |
|
19 |
19 |
$304.50 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
30 |
26 |
$248.16 |
| 90713 |
|
21 |
19 |
$236.83 |
| 36416 |
|
634 |
596 |
$71.79 |