| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
340 |
326 |
$19K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
223 |
221 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
52 |
50 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
55 |
55 |
$4K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
58 |
57 |
$4K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
55 |
54 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
19 |
19 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
39 |
39 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$915.53 |
| 94760 |
|
558 |
532 |
$787.21 |
| 99070 |
|
46 |
46 |
$259.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$120.90 |
| 90698 |
|
17 |
17 |
$0.01 |
| 90670 |
|
26 |
26 |
$0.01 |
| 90686 |
|
114 |
114 |
$0.00 |
| 99173 |
|
61 |
61 |
$0.00 |
| 90710 |
|
13 |
13 |
$0.00 |
| 90685 |
|
17 |
17 |
$0.00 |