| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
218 |
196 |
$11K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
155 |
151 |
$6K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
59 |
59 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
38 |
38 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
46 |
46 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
72 |
$2K |
| 94760 |
|
525 |
485 |
$823.20 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$503.41 |
| 99070 |
|
81 |
81 |
$420.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
17 |
12 |
$416.16 |
| 90651 |
|
13 |
13 |
$0.01 |
| 90710 |
|
18 |
18 |
$0.00 |
| 99173 |
|
107 |
107 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |
| 90698 |
|
13 |
13 |
$0.00 |
| 90696 |
|
14 |
14 |
$0.00 |