| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
909 |
770 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,306 |
1,141 |
$49K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
475 |
407 |
$31K |
| 90723 |
|
464 |
424 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
138 |
117 |
$9K |
| 90670 |
|
592 |
524 |
$3K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
179 |
80 |
$3K |
| 90647 |
|
310 |
278 |
$2K |
| 90686 |
|
333 |
278 |
$2K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
18 |
18 |
$1K |
| 90681 |
|
54 |
54 |
$311.82 |