| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,369 |
1,289 |
$80K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
145 |
139 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
131 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
62 |
61 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
94 |
93 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
35 |
35 |
$3K |
| 90686 |
|
128 |
128 |
$2K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
76 |
75 |
$1K |
| 85018 |
|
364 |
364 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
21 |
21 |
$846.93 |
| 81000 |
|
191 |
191 |
$727.16 |
| 99173 |
|
277 |
277 |
$686.35 |
| 90672 |
|
17 |
16 |
$391.88 |
| 90734 |
|
14 |
14 |
$275.89 |
| 90688 |
|
21 |
21 |
$248.66 |
| 81003 |
|
15 |
15 |
$40.95 |
| 99051 |
|
83 |
82 |
$37.50 |