| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
225 |
195 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
155 |
140 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
41 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
56 |
56 |
$2K |
| 99215 |
Prolong outpt/office vis |
15 |
15 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
78 |
70 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
36 |
16 |
$454.20 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
28 |
28 |
$306.00 |
| 92550 |
|
15 |
14 |
$248.68 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
22 |
19 |
$208.35 |
| 81003 |
|
67 |
65 |
$171.30 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
16 |
15 |
$152.56 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
51 |
49 |
$133.25 |
| 92551 |
|
12 |
12 |
$89.88 |