| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,374 |
1,133 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
634 |
522 |
$29K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
333 |
289 |
$17K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
804 |
684 |
$14K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
273 |
231 |
$11K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
148 |
98 |
$8K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
62 |
41 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
16 |
$891.95 |
| 92551 |
|
64 |
59 |
$507.34 |
| 90670 |
|
210 |
174 |
$286.59 |
| 96127 |
|
69 |
64 |
$180.65 |
| 90633 |
|
188 |
159 |
$126.51 |
| 90686 |
|
102 |
83 |
$91.10 |
| 90685 |
|
105 |
92 |
$72.25 |
| 90698 |
|
108 |
90 |
$38.24 |
| 90680 |
|
51 |
41 |
$18.40 |