| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,469 |
2,225 |
$102K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,982 |
1,785 |
$98K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
274 |
267 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
499 |
236 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
505 |
478 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
183 |
162 |
$2K |
| J1040 |
Injection, methylprednisolone acetate, 80 mg |
205 |
198 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
24 |
24 |
$2K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
119 |
110 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
814 |
752 |
$2K |
| 90756 |
|
72 |
70 |
$1K |
| 87430 |
|
61 |
60 |
$694.20 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
69 |
68 |
$597.36 |
| 81002 |
|
146 |
137 |
$354.60 |
| 90674 |
|
13 |
13 |
$282.45 |
| J1030 |
Injection, methylprednisolone acetate, 40 mg |
30 |
30 |
$186.12 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
337 |
325 |
$135.48 |
| 99497 |
|
59 |
51 |
$0.00 |
| G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit |
63 |
51 |
$0.00 |