| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
988 |
956 |
$83K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
67 |
67 |
$7K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
454 |
448 |
$3K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
12 |
12 |
$1K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
197 |
197 |
$663.31 |
| 90686 |
|
147 |
143 |
$320.71 |
| 99177 |
|
136 |
135 |
$292.88 |
| 90685 |
|
13 |
13 |
$165.89 |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
84 |
83 |
$142.55 |
| 99051 |
|
91 |
89 |
$0.00 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
76 |
76 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
92 |
70 |
$0.00 |