| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,823 |
1,648 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,533 |
1,411 |
$65K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,544 |
1,473 |
$60K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
757 |
672 |
$50K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
675 |
629 |
$47K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,636 |
1,456 |
$39K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
621 |
542 |
$35K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
371 |
324 |
$28K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,731 |
1,522 |
$12K |
| 92551 |
|
1,432 |
1,243 |
$10K |
| 96127 |
|
1,775 |
1,509 |
$9K |
| 94760 |
|
4,263 |
3,756 |
$5K |
| 99177 |
|
705 |
608 |
$4K |
| 81002 |
|
1,379 |
1,192 |
$3K |
| 3008F |
|
1,936 |
1,704 |
$3K |
| 36416 |
|
1,630 |
1,438 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
39 |
$1K |
| 90461 |
|
715 |
628 |
$811.67 |
| 99173 |
|
121 |
116 |
$562.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
34 |
$522.60 |
| 90670 |
|
318 |
295 |
$500.00 |
| 90734 |
|
39 |
31 |
$488.55 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
27 |
24 |
$427.67 |
| 90686 |
|
455 |
416 |
$260.93 |
| 90723 |
|
227 |
211 |
$209.34 |
| 99174 |
|
21 |
20 |
$185.49 |
| 92567 |
|
13 |
13 |
$180.75 |
| 90716 |
|
51 |
49 |
$172.17 |
| 96160 |
|
52 |
26 |
$165.63 |
| 90715 |
|
15 |
13 |
$163.20 |
| 90707 |
|
52 |
50 |
$99.52 |
| 90633 |
|
50 |
47 |
$87.34 |
| 94664 |
|
13 |
13 |
$66.69 |
| 90648 |
|
152 |
140 |
$0.00 |
| 90681 |
|
39 |
39 |
$0.00 |
| 99000 |
|
96 |
92 |
$0.00 |
| 90651 |
|
16 |
16 |
$0.00 |