| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
25,480 |
22,252 |
$1.63M |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
3,874 |
3,819 |
$456K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,503 |
2,482 |
$267K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,617 |
2,380 |
$260K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
10,282 |
10,045 |
$124K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
894 |
891 |
$109K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13,276 |
12,513 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
424 |
401 |
$34K |
| 99188 |
|
616 |
607 |
$4K |
| 83655 |
|
898 |
886 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
796 |
760 |
$3K |
| 92567 |
|
514 |
463 |
$3K |
| 81002 |
|
2,390 |
2,334 |
$2K |
| 90686 |
|
1,483 |
1,390 |
$1K |
| 90670 |
|
975 |
949 |
$840.43 |
| 90660 |
|
36 |
36 |
$630.50 |
| 90473 |
|
23 |
23 |
$284.11 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
67 |
$207.48 |
| 90633 |
|
303 |
295 |
$66.88 |
| 82247 |
|
19 |
14 |
$28.00 |
| 90700 |
|
144 |
143 |
$24.00 |
| 97802 |
|
3,559 |
3,444 |
$14.01 |
| 90744 |
|
326 |
313 |
$0.28 |
| 90707 |
|
178 |
173 |
$0.00 |
| 90672 |
|
107 |
104 |
$0.00 |
| 90685 |
|
56 |
56 |
$0.00 |
| 90713 |
|
24 |
24 |
$0.00 |
| 99173 |
|
15 |
15 |
$0.00 |
| 90715 |
|
24 |
24 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
1,814 |
1,721 |
$0.00 |
| 90680 |
|
324 |
318 |
$0.00 |
| 90698 |
|
447 |
439 |
$0.00 |
| 90716 |
|
232 |
225 |
$0.00 |
| 90620 |
|
42 |
42 |
$0.00 |
| 90651 |
|
108 |
107 |
$0.00 |