| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,264 |
2,822 |
$119K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
991 |
890 |
$56K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,402 |
1,161 |
$52K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
710 |
601 |
$44K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,268 |
1,063 |
$37K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
509 |
368 |
$26K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
330 |
275 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
244 |
198 |
$17K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
715 |
669 |
$10K |
| 96161 |
|
364 |
265 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
523 |
249 |
$7K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
320 |
242 |
$7K |
| 99174 |
|
646 |
541 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
559 |
487 |
$4K |
| 99173 |
|
495 |
380 |
$4K |
| 81003 |
|
1,267 |
1,058 |
$3K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
221 |
194 |
$2K |
| 92587 |
|
49 |
35 |
$2K |
| 96127 |
|
464 |
373 |
$2K |
| 36415 |
Collection of venous blood by venipuncture |
236 |
214 |
$714.35 |
| 90473 |
|
88 |
60 |
$645.75 |
| 83655 |
|
28 |
26 |
$484.68 |
| 90688 |
|
520 |
453 |
$381.32 |
| 92558 |
|
39 |
28 |
$252.28 |
| 90461 |
|
652 |
472 |
$180.16 |
| 36416 |
|
54 |
40 |
$157.45 |
| 90713 |
|
413 |
310 |
$91.22 |
| 90633 |
|
86 |
67 |
$87.34 |
| 90700 |
|
537 |
427 |
$68.66 |
| 90687 |
|
225 |
196 |
$22.00 |
| 90648 |
|
362 |
274 |
$0.00 |
| 90670 |
|
349 |
258 |
$0.00 |
| 90734 |
|
14 |
12 |
$0.00 |
| 90707 |
|
17 |
15 |
$0.00 |
| 90744 |
|
49 |
38 |
$0.00 |
| 3008F |
|
1,581 |
1,358 |
$0.00 |
| 90680 |
|
137 |
103 |
$0.00 |
| 90651 |
|
101 |
83 |
$0.00 |
| 90716 |
|
16 |
14 |
$0.00 |