| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
911 |
845 |
$34K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
161 |
160 |
$10K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
160 |
155 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
85 |
85 |
$5K |
| 99460 |
|
77 |
77 |
$5K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
115 |
112 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
77 |
76 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
30 |
30 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
31 |
31 |
$2K |
| 54150 |
|
12 |
12 |
$1K |
| 90723 |
|
40 |
40 |
$1K |
| 83655 |
|
32 |
32 |
$398.74 |
| 90670 |
|
73 |
73 |
$382.16 |
| 99462 |
|
13 |
12 |
$336.67 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
15 |
15 |
$235.90 |
| 90647 |
|
41 |
41 |
$213.76 |
| 90633 |
|
41 |
41 |
$212.16 |
| 85018 |
|
12 |
12 |
$29.19 |