| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,300 |
2,742 |
$205K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,687 |
3,187 |
$153K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
976 |
770 |
$15K |
| 0502F |
|
308 |
287 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
76 |
63 |
$5K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
96 |
92 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
49 |
46 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
98 |
53 |
$2K |
| 81002 |
|
607 |
489 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
37 |
$1K |
| 81025 |
|
453 |
362 |
$1K |
| 90686 |
|
46 |
32 |
$879.49 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
12 |
$225.10 |
| 90647 |
|
12 |
12 |
$200.52 |
| 92551 |
|
12 |
12 |
$182.40 |
| 80061 |
Lipid panel |
16 |
13 |
$128.48 |
| 36415 |
Collection of venous blood by venipuncture |
60 |
57 |
$4.10 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
21 |
17 |
$0.00 |