| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,484 |
2,061 |
$110K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
650 |
306 |
$18K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
340 |
312 |
$14K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
223 |
202 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
147 |
136 |
$8K |
| 87430 |
|
607 |
539 |
$6K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
111 |
95 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
57 |
55 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
214 |
190 |
$4K |
| 87070 |
|
409 |
369 |
$3K |
| 90686 |
|
89 |
86 |
$1K |
| 99460 |
|
15 |
13 |
$1K |
| 90461 |
|
16 |
12 |
$858.00 |
| 99462 |
|
22 |
13 |
$810.00 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$760.87 |
| 90670 |
|
98 |
95 |
$760.00 |
| 81002 |
|
277 |
247 |
$635.58 |
| 90723 |
|
79 |
77 |
$616.00 |
| 90680 |
|
73 |
71 |
$568.00 |
| 85014 |
|
314 |
287 |
$403.46 |
| 90647 |
|
29 |
29 |
$232.00 |
| 87807 |
|
13 |
12 |
$100.08 |
| 36416 |
|
44 |
30 |
$76.00 |
| 99051 |
|
15 |
14 |
$0.00 |
| 94760 |
|
34 |
26 |
$0.00 |