| 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 |
2,686 |
$136K |
| 92567 |
|
2,708 |
2,283 |
$39K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,692 |
1,543 |
$24K |
| 90461 |
|
477 |
464 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,024 |
989 |
$15K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
109 |
102 |
$9K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
400 |
193 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
81 |
78 |
$6K |
| 92551 |
|
349 |
336 |
$4K |
| 90633 |
|
451 |
441 |
$4K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
249 |
244 |
$2K |
| 81000 |
|
603 |
581 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
22 |
22 |
$2K |
| J0558 |
Injection, penicillin g benzathine and penicillin g procaine, 100,000 units |
13 |
13 |
$1K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
85 |
83 |
$931.11 |
| 90686 |
|
74 |
73 |
$638.77 |
| 90688 |
|
27 |
27 |
$382.64 |
| 90651 |
|
16 |
13 |
$260.60 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
13 |
13 |
$241.06 |
| 90734 |
|
17 |
16 |
$168.40 |
| 90670 |
|
12 |
12 |
$130.10 |
| 90714 |
|
14 |
13 |
$130.00 |