| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,886 |
2,562 |
$134K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,354 |
840 |
$64K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
692 |
484 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
517 |
342 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
419 |
285 |
$21K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
4,141 |
2,746 |
$20K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
1,786 |
634 |
$15K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,865 |
1,348 |
$15K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
789 |
711 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
489 |
426 |
$9K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
503 |
429 |
$9K |
| 36415 |
Collection of venous blood by venipuncture |
2,116 |
1,772 |
$3K |
| 99173 |
|
932 |
649 |
$3K |
| 92558 |
|
812 |
587 |
$2K |
| 81003 |
|
1,419 |
899 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
87 |
81 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
25 |
16 |
$1K |
| 1111F |
|
359 |
315 |
$1K |
| 92551 |
|
225 |
129 |
$919.49 |
| 87807 |
|
79 |
49 |
$532.89 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
47 |
17 |
$489.80 |
| 90474 |
|
44 |
39 |
$395.03 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
83 |
35 |
$346.46 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
136 |
61 |
$260.58 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$242.17 |
| 81001 |
|
85 |
78 |
$234.34 |
| 90651 |
|
13 |
13 |
$228.00 |
| 3008F |
|
1,174 |
557 |
$1.24 |
| 3078F |
|
211 |
108 |
$0.03 |
| 3074F |
|
184 |
95 |
$0.01 |
| 90670 |
|
204 |
175 |
$0.00 |
| 90633 |
|
47 |
42 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90698 |
|
73 |
65 |
$0.00 |
| 90686 |
|
117 |
108 |
$0.00 |
| 90744 |
|
13 |
12 |
$0.00 |
| 90716 |
|
28 |
24 |
$0.00 |
| 90680 |
|
44 |
39 |
$0.00 |