| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 87633 |
Infectious agent detection by nucleic acid, respiratory virus, 12-25 targets |
110 |
46 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
609 |
458 |
$34K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
78 |
77 |
$6K |
| 96127 |
|
236 |
216 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
50 |
49 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
216 |
154 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
47 |
43 |
$3K |
| 87798 |
Infectious agent detection by nucleic acid; not otherwise specified, amplified probe, each organism |
42 |
26 |
$2K |
| 96160 |
|
34 |
33 |
$730.00 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
19 |
15 |
$631.63 |
| 99000 |
|
14 |
14 |
$351.90 |
| 90651 |
|
18 |
18 |
$300.78 |
| 90698 |
|
17 |
13 |
$284.07 |
| 90619 |
|
12 |
12 |
$200.52 |