| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
871 |
694 |
$33K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
558 |
465 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
102 |
91 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
51 |
43 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
12 |
$888.61 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
62 |
30 |
$646.04 |
| 86156 |
|
90 |
77 |
$156.77 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
13 |
12 |
$95.35 |
| 36415 |
Collection of venous blood by venipuncture |
27 |
27 |
$58.35 |
| 36416 |
|
17 |
17 |
$23.45 |