| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
833 |
763 |
$62K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
654 |
493 |
$44K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
444 |
410 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
204 |
189 |
$10K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
111 |
105 |
$8K |
| 90686 |
|
264 |
246 |
$3K |
| 90670 |
|
235 |
200 |
$3K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
27 |
27 |
$2K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
27 |
27 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
56 |
$1K |
| 90656 |
|
58 |
56 |
$986.06 |
| 81002 |
|
346 |
328 |
$905.05 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
29 |
28 |
$813.80 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
48 |
47 |
$690.80 |
| 90698 |
|
80 |
66 |
$628.80 |
| 90680 |
|
78 |
63 |
$616.24 |
| 90677 |
|
14 |
14 |
$514.55 |
| 90744 |
|
63 |
51 |
$507.68 |
| 87081 |
|
14 |
14 |
$81.20 |
| 81001 |
|
17 |
17 |
$42.90 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
616 |
520 |
$0.00 |
| 90461 |
|
94 |
68 |
$0.00 |