| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,147 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
644 |
608 |
$64K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
65 |
65 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
252 |
247 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
399 |
399 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
497 |
481 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
367 |
178 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
24 |
24 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
117 |
117 |
$1K |
| 87081 |
|
354 |
344 |
$1K |
| 92587 |
|
65 |
65 |
$1K |
| 92551 |
|
74 |
74 |
$907.86 |
| 99173 |
|
238 |
238 |
$807.80 |
| 92567 |
|
60 |
58 |
$804.22 |
| 94760 |
|
267 |
253 |
$740.86 |
| 90686 |
|
103 |
103 |
$591.81 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
122 |
121 |
$547.11 |
| 81002 |
|
284 |
280 |
$455.79 |
| 90461 |
|
26 |
26 |
$151.80 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$2.10 |
| 36416 |
|
61 |
61 |
$1.80 |
| 99051 |
|
332 |
323 |
$0.00 |