| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,224 |
5,545 |
$363K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
753 |
666 |
$51K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
795 |
621 |
$48K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
495 |
391 |
$32K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
2,427 |
1,769 |
$31K |
| 99383 |
|
396 |
312 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
2,361 |
1,880 |
$22K |
| 90461 |
|
1,677 |
1,257 |
$16K |
| 99382 |
|
231 |
178 |
$15K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
276 |
217 |
$14K |
| 92587 |
|
888 |
810 |
$10K |
| 87070 |
|
2,376 |
1,890 |
$9K |
| 90710 |
|
158 |
113 |
$8K |
| 87184 |
|
2,365 |
1,880 |
$8K |
| 90677 |
|
104 |
85 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
557 |
247 |
$6K |
| 90670 |
|
226 |
127 |
$5K |
| 90697 |
|
87 |
64 |
$4K |
| 99384 |
|
42 |
37 |
$4K |
| 99381 |
|
110 |
84 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
809 |
683 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$2K |
| 90734 |
|
78 |
59 |
$2K |
| 3008F |
|
2,708 |
1,999 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
17 |
16 |
$2K |
| 90723 |
|
103 |
46 |
$744.04 |
| 90696 |
|
46 |
35 |
$670.95 |
| 90707 |
|
21 |
17 |
$385.11 |
| 36415 |
Collection of venous blood by venipuncture |
207 |
145 |
$335.04 |
| 90715 |
|
43 |
32 |
$301.90 |
| 90687 |
|
272 |
199 |
$272.67 |
| 90698 |
|
12 |
12 |
$111.30 |
| 83655 |
|
14 |
12 |
$46.63 |
| 90700 |
|
13 |
12 |
$35.75 |
| 85018 |
|
31 |
24 |
$14.32 |