| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
10,586 |
9,736 |
$618K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
6,343 |
5,888 |
$513K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
7,412 |
7,012 |
$181K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
2,582 |
2,577 |
$149K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,183 |
2,110 |
$126K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,803 |
1,800 |
$108K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
1,283 |
1,115 |
$70K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
232 |
221 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
897 |
894 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
86 |
80 |
$519.60 |
| 81002 |
|
164 |
159 |
$298.73 |
| 90670 |
|
157 |
156 |
$124.96 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
16 |
16 |
$82.02 |
| 90656 |
|
694 |
693 |
$15.66 |
| 90619 |
|
89 |
89 |
$0.26 |
| 90620 |
|
161 |
161 |
$0.01 |
| 90686 |
|
298 |
298 |
$0.00 |
| 90680 |
|
25 |
25 |
$0.00 |
| 90716 |
|
13 |
13 |
$0.00 |
| 90649 |
|
183 |
183 |
$0.00 |
| 90633 |
|
25 |
25 |
$0.00 |
| 90655 |
|
33 |
33 |
$0.00 |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
22 |
22 |
$0.00 |
| 90734 |
|
33 |
33 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |