| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,085 |
2,653 |
$177K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
471 |
459 |
$39K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
465 |
460 |
$39K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
1,144 |
1,085 |
$24K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
265 |
241 |
$21K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
199 |
198 |
$18K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
291 |
281 |
$10K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
555 |
551 |
$6K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
86 |
84 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
27 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
15 |
15 |
$1K |
| 90686 |
|
154 |
154 |
$520.78 |
| 90707 |
|
29 |
29 |
$84.65 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
16 |
16 |
$80.00 |
| 90633 |
|
41 |
41 |
$0.00 |
| 90710 |
|
111 |
111 |
$0.00 |
| 90734 |
|
12 |
12 |
$0.00 |
| 90670 |
|
139 |
139 |
$0.00 |
| 90648 |
|
24 |
24 |
$0.00 |
| 90723 |
|
12 |
12 |
$0.00 |
| 90696 |
|
29 |
29 |
$0.00 |