| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,554 |
1,281 |
$52K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
691 |
580 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
450 |
387 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
321 |
308 |
$16K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
119 |
103 |
$7K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
119 |
114 |
$5K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
120 |
94 |
$4K |
| 90670 |
|
468 |
417 |
$3K |
| 99460 |
|
51 |
38 |
$3K |
| 90698 |
|
367 |
335 |
$2K |
| 90686 |
|
343 |
310 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
92 |
82 |
$2K |
| 90680 |
|
273 |
240 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
24 |
18 |
$876.54 |
| 90744 |
|
138 |
127 |
$832.00 |
| 99383 |
|
14 |
14 |
$643.45 |
| 90633 |
|
87 |
84 |
$545.28 |
| 87420 |
|
24 |
18 |
$282.60 |
| 90734 |
|
51 |
45 |
$268.63 |
| 90715 |
|
29 |
28 |
$179.20 |
| 90710 |
|
33 |
31 |
$179.20 |
| 90696 |
|
33 |
31 |
$179.20 |
| 90651 |
|
13 |
12 |
$76.80 |