| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
761 |
665 |
$47K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,212 |
1,025 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
324 |
$23K |
| 90723 |
|
352 |
319 |
$9K |
| 90670 |
|
472 |
424 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
177 |
79 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
28 |
28 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
37 |
30 |
$2K |
| 90686 |
|
380 |
333 |
$2K |
| 90647 |
|
227 |
210 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99188 |
|
22 |
17 |
$264.95 |
| 90681 |
|
42 |
42 |
$239.64 |
| 85018 |
|
97 |
81 |
$197.85 |
| 90633 |
|
34 |
26 |
$143.07 |