| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
802 |
707 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,188 |
1,001 |
$43K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
275 |
243 |
$17K |
| 90723 |
|
352 |
317 |
$9K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
53 |
51 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
316 |
150 |
$4K |
| 90670 |
|
488 |
441 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
40 |
$2K |
| 90647 |
|
279 |
251 |
$1K |
| 90686 |
|
225 |
202 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
16 |
16 |
$507.94 |
| 85018 |
|
180 |
156 |
$381.59 |
| 83655 |
|
29 |
24 |
$315.63 |
| 90681 |
|
54 |
54 |
$310.38 |
| 87807 |
|
14 |
14 |
$159.45 |