| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
462 |
443 |
$21K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
142 |
131 |
$11K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
105 |
86 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
106 |
92 |
$8K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
227 |
209 |
$4K |
| 90651 |
|
45 |
39 |
$3K |
| 92587 |
|
250 |
231 |
$3K |
| 90734 |
|
40 |
33 |
$1K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
14 |
14 |
$790.46 |
| 90686 |
|
68 |
65 |
$579.64 |
| 99173 |
|
77 |
69 |
$536.40 |
| 90715 |
|
13 |
13 |
$158.81 |