| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,225 |
1,988 |
$104K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
836 |
748 |
$65K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
587 |
508 |
$40K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
480 |
441 |
$36K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
289 |
277 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
162 |
$13K |
| 90686 |
|
499 |
451 |
$5K |
| 90670 |
|
179 |
151 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
15 |
15 |
$1K |
| 90651 |
|
43 |
42 |
$398.92 |
| 96127 |
|
27 |
27 |
$394.69 |
| 90734 |
|
30 |
29 |
$336.34 |
| 90723 |
|
41 |
39 |
$249.60 |
| 90715 |
|
14 |
14 |
$89.60 |
| 90647 |
|
14 |
13 |
$76.80 |
| 36416 |
|
13 |
13 |
$57.40 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$0.00 |