| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,271 |
2,007 |
$97K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
383 |
356 |
$26K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
324 |
303 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
180 |
169 |
$14K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
72 |
68 |
$5K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
63 |
60 |
$5K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
52 |
50 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
77 |
72 |
$3K |
| 90686 |
|
279 |
267 |
$2K |
| 90670 |
|
189 |
180 |
$1K |
| 90698 |
|
167 |
158 |
$998.40 |
| 99460 |
|
15 |
12 |
$869.44 |
| 90680 |
|
86 |
82 |
$512.00 |
| 90710 |
|
32 |
29 |
$423.84 |
| 90734 |
|
24 |
21 |
$389.50 |
| 90744 |
|
61 |
57 |
$352.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
12 |
$243.40 |
| 87420 |
|
14 |
12 |
$226.91 |
| 90651 |
|
26 |
23 |
$147.20 |
| 90715 |
|
19 |
17 |
$108.80 |
| 90696 |
|
18 |
15 |
$96.00 |
| 90633 |
|
14 |
14 |
$89.60 |
| 36415 |
Collection of venous blood by venipuncture |
19 |
18 |
$61.28 |