| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
281 |
274 |
$22K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
151 |
143 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
266 |
238 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
449 |
284 |
$6K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
140 |
135 |
$4K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
140 |
135 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
342 |
333 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
27 |
26 |
$2K |
| 87561 |
|
45 |
44 |
$1K |
| 87653 |
|
35 |
35 |
$1K |
| 87640 |
|
35 |
35 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$559.43 |
| 87661 |
Infectious agent detection by nucleic acid; Trichomonas vaginalis, amplified probe |
122 |
116 |
$491.66 |
| 81002 |
|
12 |
12 |
$33.77 |
| 90670 |
|
44 |
41 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |
| 90677 |
|
49 |
49 |
$0.00 |