| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,466 |
699 |
$14K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
389 |
248 |
$8K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
359 |
218 |
$6K |
| 96127 |
|
2,103 |
639 |
$2K |
| 92551 |
|
1,155 |
630 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
43 |
15 |
$1K |
| 99173 |
|
1,394 |
728 |
$773.36 |
| 96160 |
|
1,193 |
634 |
$611.78 |
| 36415 |
Collection of venous blood by venipuncture |
229 |
77 |
$53.34 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
227 |
145 |
$37.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
47 |
41 |
$27.80 |
| 80061 |
Lipid panel |
56 |
13 |
$5.40 |
| 81002 |
|
38 |
12 |
$3.42 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
19 |
14 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
100 |
$0.00 |