| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
313 |
283 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
70 |
67 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
51 |
51 |
$3K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
100 |
95 |
$2K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
187 |
180 |
$2K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
13 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$941.17 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
14 |
14 |
$508.44 |
| 83655 |
|
36 |
35 |
$488.41 |
| 85018 |
|
121 |
119 |
$294.35 |
| 96127 |
|
16 |
15 |
$206.40 |
| 90474 |
|
35 |
32 |
$180.73 |
| 99173 |
|
54 |
53 |
$83.82 |
| 90686 |
|
66 |
65 |
$82.25 |
| 90707 |
|
20 |
20 |
$70.00 |
| 90680 |
|
34 |
31 |
$0.02 |
| 90670 |
|
69 |
65 |
$0.02 |
| 90723 |
|
13 |
12 |
$0.01 |
| 90648 |
|
13 |
12 |
$0.01 |
| 90698 |
|
17 |
14 |
$0.00 |
| 90716 |
|
19 |
19 |
$0.00 |
| 90633 |
|
14 |
12 |
$0.00 |