| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,096 |
1,028 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,002 |
914 |
$65K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
157 |
157 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
238 |
222 |
$13K |
| 36416 |
|
1,415 |
1,385 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
42 |
42 |
$3K |
| 92551 |
|
256 |
256 |
$2K |
| 85018 |
|
1,000 |
995 |
$2K |
| 99173 |
|
205 |
205 |
$141.12 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
14 |
14 |
$62.91 |
| 96161 |
|
61 |
55 |
$36.69 |
| 96127 |
|
17 |
17 |
$23.80 |
| 90648 |
|
13 |
13 |
$15.47 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
61 |
60 |
$0.00 |
| 90461 |
|
17 |
17 |
$0.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$0.00 |
| 88738 |
|
18 |
18 |
$0.00 |