| Code | Description | Claims | Beneficiaries | Total Paid |
| 54150 |
|
283 |
270 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
784 |
717 |
$25K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
416 |
396 |
$22K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
250 |
229 |
$13K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
103 |
98 |
$10K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
300 |
281 |
$7K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
115 |
108 |
$5K |
| 99460 |
|
42 |
39 |
$4K |
| 90670 |
|
278 |
269 |
$3K |
| 90698 |
|
157 |
146 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
40 |
37 |
$722.10 |
| 99238 |
Hospital discharge day management, 30 minutes or less |
13 |
12 |
$633.60 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
37 |
$476.19 |
| 90744 |
|
47 |
41 |
$382.40 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
18 |
12 |
$345.00 |
| 90633 |
|
30 |
27 |
$258.12 |
| 87807 |
|
14 |
14 |
$169.13 |
| 90648 |
|
17 |
17 |
$162.52 |
| 90723 |
|
16 |
16 |
$143.40 |
| 90681 |
|
20 |
16 |
$143.40 |
| 90685 |
|
18 |
14 |
$124.28 |
| 90710 |
|
12 |
12 |
$114.72 |
| 36415 |
Collection of venous blood by venipuncture |
51 |
41 |
$102.00 |