| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
604 |
508 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
330 |
284 |
$24K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
92 |
86 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
77 |
76 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
80 |
52 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
299 |
282 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
68 |
64 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
15 |
15 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
61 |
32 |
$939.00 |
| 90670 |
|
29 |
27 |
$811.15 |
| 90686 |
|
66 |
56 |
$561.84 |
| 96127 |
|
31 |
29 |
$452.60 |
| 96160 |
|
28 |
27 |
$379.60 |
| 81003 |
|
132 |
118 |
$298.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$204.10 |
| 90685 |
|
15 |
15 |
$96.00 |
| 94760 |
|
94 |
61 |
$8.80 |
| 96161 |
|
43 |
40 |
$0.00 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
337 |
307 |
$0.00 |
| 90461 |
|
124 |
113 |
$0.00 |