| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,804 |
3,649 |
$188K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,228 |
2,137 |
$178K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
521 |
521 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
370 |
369 |
$32K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
399 |
399 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,263 |
2,246 |
$17K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
187 |
176 |
$12K |
| 90619 |
|
55 |
55 |
$4K |
| 90670 |
|
26 |
26 |
$2K |
| 90651 |
|
78 |
78 |
$2K |
| 90716 |
|
15 |
15 |
$608.02 |
| 85018 |
|
2,497 |
2,477 |
$505.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$437.63 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
63 |
62 |
$211.13 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
460 |
451 |
$121.93 |
| 90686 |
|
46 |
46 |
$118.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
40 |
$71.36 |
| 96127 |
|
532 |
521 |
$49.20 |
| 90715 |
|
12 |
12 |
$48.02 |
| 99173 |
|
2,000 |
1,984 |
$25.86 |
| 87081 |
|
387 |
379 |
$19.98 |
| 81003 |
|
101 |
101 |
$8.48 |
| 92551 |
|
2,179 |
2,143 |
$1.63 |
| 99177 |
|
459 |
433 |
$0.00 |
| 90707 |
|
16 |
16 |
$0.00 |
| 90700 |
|
16 |
16 |
$0.00 |
| 3008F |
|
2,541 |
2,538 |
$0.00 |
| 36416 |
|
3,502 |
3,449 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
432 |
432 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |