| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,450 |
3,003 |
$181K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
876 |
776 |
$58K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
583 |
286 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
520 |
497 |
$8K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
68 |
65 |
$6K |
| 90461 |
|
219 |
210 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
34 |
32 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
203 |
196 |
$3K |
| 97802 |
|
68 |
62 |
$2K |
| 71046 |
Radiologic examination, chest; 2 views |
97 |
85 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$963.35 |
| 36415 |
Collection of venous blood by venipuncture |
310 |
287 |
$771.19 |
| 90682 |
|
16 |
16 |
$550.52 |
| 81003 |
|
161 |
147 |
$414.98 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
13 |
13 |
$303.00 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
29 |
26 |
$234.47 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
27 |
$116.17 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
15 |
13 |
$58.00 |
| 90686 |
|
117 |
113 |
$19.70 |
| 3008F |
|
95 |
74 |
$0.00 |