| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,655 |
2,264 |
$121K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,161 |
1,082 |
$71K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,006 |
1,961 |
$71K |
| 92552 |
|
1,269 |
1,257 |
$18K |
| 92567 |
|
1,285 |
1,271 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
471 |
450 |
$16K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
237 |
236 |
$14K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
221 |
221 |
$13K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
188 |
188 |
$12K |
| 86580 |
|
1,074 |
1,074 |
$8K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
400 |
382 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
966 |
910 |
$7K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
1,445 |
1,432 |
$6K |
| 87070 |
|
960 |
904 |
$4K |
| 81000 |
|
1,445 |
1,387 |
$3K |
| 87184 |
|
944 |
889 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
149 |
88 |
$2K |
| 82465 |
|
1,035 |
1,034 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
26 |
26 |
$1K |
| 99173 |
|
861 |
858 |
$1K |
| 36416 |
|
988 |
976 |
$129.72 |
| 99072 |
|
157 |
145 |
$102.00 |
| 90686 |
|
81 |
80 |
$0.00 |