| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,663 |
3,339 |
$160K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
826 |
740 |
$58K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
484 |
442 |
$36K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
531 |
454 |
$36K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
131 |
125 |
$9K |
| 90670 |
|
174 |
156 |
$3K |
| 90686 |
|
302 |
262 |
$3K |
| 90723 |
|
74 |
65 |
$1K |
| 90647 |
|
63 |
57 |
$1K |
| 90680 |
|
43 |
38 |
$706.08 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
12 |
12 |
$646.74 |
| 90651 |
|
27 |
25 |
$377.67 |
| 90734 |
|
19 |
15 |
$121.60 |
| 85018 |
|
18 |
18 |
$39.44 |