| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,702 |
2,546 |
$102K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
484 |
465 |
$31K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
375 |
369 |
$24K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
166 |
165 |
$13K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
375 |
370 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
144 |
144 |
$9K |
| 90723 |
|
201 |
197 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
41 |
41 |
$3K |
| 90670 |
|
279 |
275 |
$1K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
16 |
16 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
66 |
65 |
$885.04 |
| 90686 |
|
156 |
153 |
$821.68 |
| 90647 |
|
101 |
101 |
$538.82 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
37 |
37 |
$494.34 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
18 |
14 |
$242.96 |
| 90658 |
|
49 |
37 |
$178.03 |
| 90680 |
|
27 |
27 |
$146.37 |
| 90633 |
|
27 |
27 |
$138.46 |
| 90685 |
|
15 |
15 |
$80.01 |
| 90688 |
|
15 |
15 |
$78.99 |
| 90681 |
|
12 |
12 |
$64.52 |
| 81002 |
|
14 |
13 |
$34.62 |