| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,459 |
3,104 |
$123K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,215 |
2,000 |
$118K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
872 |
858 |
$56K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
722 |
710 |
$46K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
552 |
544 |
$35K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
465 |
440 |
$29K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
84 |
82 |
$8K |
| 99460 |
|
64 |
61 |
$4K |
| 83655 |
|
330 |
323 |
$4K |
| 90686 |
|
654 |
641 |
$3K |
| 90670 |
|
539 |
530 |
$3K |
| 90698 |
|
93 |
91 |
$2K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
47 |
47 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
117 |
58 |
$2K |
| 90651 |
|
297 |
285 |
$1K |
| 85018 |
|
672 |
659 |
$1K |
| 85014 |
|
665 |
652 |
$1K |
| 90723 |
|
42 |
42 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
69 |
$999.82 |
| 90734 |
|
166 |
160 |
$955.11 |
| 90715 |
|
44 |
44 |
$673.45 |
| 90648 |
|
120 |
120 |
$617.83 |
| 90710 |
|
27 |
27 |
$569.12 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
23 |
21 |
$562.93 |
| 90633 |
|
97 |
97 |
$493.21 |
| 90685 |
|
93 |
91 |
$485.92 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
13 |
13 |
$426.29 |
| 90672 |
|
48 |
48 |
$256.80 |
| 90681 |
|
29 |
29 |
$152.60 |
| 90620 |
|
16 |
16 |
$78.14 |
| 90744 |
|
12 |
12 |
$64.20 |