| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,395 |
1,140 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,700 |
1,313 |
$89K |
| 90686 |
|
596 |
555 |
$6K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
315 |
260 |
$4K |
| 81000 |
|
736 |
635 |
$2K |
| 96127 |
|
371 |
299 |
$2K |
| 85018 |
|
580 |
533 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
122 |
42 |
$1K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
149 |
124 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
17 |
13 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
13 |
$940.58 |
| 36416 |
|
1,115 |
968 |
$712.83 |
| 90656 |
|
32 |
31 |
$522.71 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
36 |
35 |
$386.40 |
| 99000 |
|
204 |
161 |
$370.04 |
| 90685 |
|
14 |
13 |
$155.31 |
| 81002 |
|
22 |
19 |
$43.56 |