| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
513 |
474 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
302 |
255 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
31 |
24 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 3008F |
|
58 |
53 |
$510.00 |
| 99173 |
|
38 |
38 |
$75.00 |
| 90686 |
|
113 |
106 |
$0.00 |
| 99051 |
|
14 |
14 |
$0.00 |