| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,965 |
2,505 |
$132K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
198 |
196 |
$15K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
162 |
160 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
190 |
172 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
145 |
137 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
81 |
80 |
$6K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
466 |
397 |
$6K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
108 |
107 |
$5K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
28 |
24 |
$2K |
| 90734 |
|
95 |
83 |
$2K |
| 90688 |
|
120 |
106 |
$1K |
| 90682 |
|
16 |
13 |
$901.13 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
54 |
54 |
$845.10 |
| 96127 |
|
58 |
52 |
$837.71 |
| 90700 |
|
100 |
97 |
$765.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
38 |
38 |
$583.45 |
| 0502F |
|
13 |
12 |
$573.30 |
| 90715 |
|
52 |
42 |
$488.90 |
| 90686 |
|
42 |
35 |
$369.88 |
| 81003 |
|
165 |
148 |
$361.88 |
| 90713 |
|
43 |
40 |
$281.57 |
| 90648 |
|
41 |
38 |
$252.85 |
| 90670 |
|
25 |
25 |
$160.00 |
| 90651 |
|
18 |
18 |
$115.20 |
| 90698 |
|
13 |
13 |
$83.20 |
| 99173 |
|
13 |
13 |
$44.70 |
| 99072 |
|
96 |
65 |
$0.00 |