| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,491 |
3,079 |
$178K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,102 |
969 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
502 |
461 |
$39K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
462 |
425 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
440 |
385 |
$30K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
249 |
233 |
$19K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
47 |
43 |
$4K |
| 92551 |
|
412 |
377 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
321 |
302 |
$3K |
| 96161 |
|
234 |
186 |
$3K |
| 3008F |
|
833 |
760 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
205 |
191 |
$2K |
| 99173 |
|
424 |
388 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
91 |
71 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
27 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
57 |
53 |
$1K |
| 99177 |
|
180 |
163 |
$1K |
| 90670 |
|
415 |
351 |
$752.79 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
49 |
46 |
$642.30 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
74 |
68 |
$490.80 |
| 90686 |
|
340 |
310 |
$180.94 |
| 87081 |
|
32 |
28 |
$131.41 |
| 36416 |
|
108 |
100 |
$115.89 |
| 90723 |
|
225 |
185 |
$104.67 |
| 99051 |
|
16 |
16 |
$68.60 |
| 90633 |
|
25 |
24 |
$44.21 |
| 90647 |
|
181 |
154 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90680 |
|
168 |
141 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |