| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,044 |
852 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
810 |
635 |
$59K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
332 |
263 |
$16K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
349 |
297 |
$16K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
878 |
721 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
480 |
383 |
$7K |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
388 |
290 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
122 |
100 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
101 |
57 |
$5K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
831 |
641 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
54 |
45 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
13 |
$1K |
| 87634 |
|
22 |
16 |
$977.75 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
162 |
64 |
$774.67 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
95 |
90 |
$617.11 |
| 87807 |
|
65 |
50 |
$399.54 |
| 90474 |
|
48 |
37 |
$328.68 |
| 83655 |
|
48 |
28 |
$313.04 |
| 92551 |
|
55 |
42 |
$281.18 |
| 99173 |
|
140 |
110 |
$189.91 |
| 90686 |
|
321 |
275 |
$76.12 |
| 90633 |
|
54 |
38 |
$0.02 |
| 3078F |
|
537 |
412 |
$0.00 |
| 90670 |
|
274 |
223 |
$0.00 |
| 90681 |
|
42 |
37 |
$0.00 |
| 96127 |
|
250 |
162 |
$0.00 |
| 90647 |
|
159 |
127 |
$0.00 |
| 3074F |
|
534 |
420 |
$0.00 |
| 90723 |
|
138 |
118 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
57 |
42 |
$0.00 |