| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,291 |
1,861 |
$131K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
266 |
252 |
$20K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
199 |
198 |
$16K |
| 90686 |
|
272 |
267 |
$3K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
33 |
33 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
162 |
156 |
$2K |
| 90670 |
|
166 |
162 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
136 |
64 |
$2K |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
195 |
191 |
$2K |
| 90648 |
|
132 |
129 |
$1K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
13 |
13 |
$1K |
| 90723 |
|
81 |
81 |
$1K |
| 87081 |
|
111 |
110 |
$878.02 |
| 71046 |
Radiologic examination, chest; 2 views |
49 |
39 |
$677.32 |
| 90651 |
|
37 |
37 |
$633.64 |
| 86580 |
|
105 |
103 |
$587.86 |
| 90698 |
|
52 |
49 |
$585.10 |
| 90681 |
|
40 |
39 |
$431.65 |
| 90734 |
|
24 |
24 |
$279.90 |
| 90715 |
|
23 |
23 |
$279.90 |
| 90633 |
|
17 |
17 |
$243.50 |
| 90710 |
|
20 |
20 |
$229.90 |
| 90696 |
|
19 |
19 |
$218.35 |
| 70210 |
|
12 |
12 |
$217.44 |
| 81001 |
|
63 |
62 |
$215.59 |
| 90744 |
|
13 |
12 |
$103.95 |