| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,414 |
1,300 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
829 |
770 |
$35K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
438 |
406 |
$29K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
206 |
198 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
117 |
112 |
$7K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
242 |
232 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
239 |
220 |
$6K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
143 |
134 |
$3K |
| 96127 |
|
434 |
410 |
$2K |
| 3008F |
|
638 |
598 |
$2K |
| 92551 |
|
243 |
230 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
20 |
19 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
188 |
174 |
$1K |
| 99173 |
|
271 |
258 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
107 |
100 |
$851.08 |
| 90670 |
|
181 |
169 |
$770.93 |
| 83655 |
|
56 |
56 |
$675.49 |
| 96160 |
|
79 |
76 |
$617.55 |
| 90716 |
|
132 |
115 |
$516.51 |
| 90651 |
|
43 |
41 |
$303.62 |
| 90707 |
|
130 |
113 |
$294.04 |
| 90461 |
|
413 |
381 |
$289.63 |
| 36416 |
|
191 |
177 |
$261.86 |
| 90686 |
|
355 |
329 |
$178.00 |
| 90633 |
|
164 |
157 |
$131.01 |
| 90648 |
|
93 |
90 |
$36.54 |
| 94760 |
|
76 |
68 |
$21.98 |
| 90734 |
|
12 |
12 |
$0.00 |
| 99000 |
|
135 |
128 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |