| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,508 |
3,005 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,209 |
1,860 |
$130K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
713 |
586 |
$88K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
885 |
801 |
$46K |
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
300 |
220 |
$44K |
| 87428 |
|
985 |
886 |
$41K |
| 99215 |
Prolong outpt/office vis |
436 |
358 |
$38K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
574 |
525 |
$29K |
| 92558 |
|
1,186 |
1,091 |
$24K |
| 96112 |
|
241 |
218 |
$18K |
| 87430 |
|
1,108 |
1,010 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
273 |
250 |
$12K |
| 90698 |
|
500 |
440 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
289 |
235 |
$5K |
| 90671 |
|
295 |
276 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
425 |
387 |
$5K |
| 99383 |
|
73 |
70 |
$4K |
| 90461 |
|
108 |
92 |
$4K |
| 99173 |
|
1,025 |
937 |
$3K |
| 90670 |
|
163 |
133 |
$3K |
| 99382 |
|
30 |
27 |
$2K |
| 87420 |
|
115 |
105 |
$1K |
| 90680 |
|
60 |
59 |
$1K |
| 90716 |
|
69 |
62 |
$1K |
| 90744 |
|
68 |
62 |
$1K |
| 90633 |
|
44 |
41 |
$771.81 |
| 90707 |
|
38 |
36 |
$653.07 |
| 99381 |
|
13 |
12 |
$504.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
49 |
44 |
$397.94 |
| 36416 |
|
176 |
151 |
$311.00 |
| 90686 |
|
14 |
14 |
$277.06 |
| 99177 |
|
936 |
849 |
$268.15 |
| 96127 |
|
28 |
26 |
$81.75 |
| 87400 |
|
14 |
14 |
$70.00 |