| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,892 |
2,693 |
$109K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
562 |
535 |
$36K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
471 |
461 |
$29K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
383 |
378 |
$13K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
161 |
$10K |
| 87502 |
Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets |
129 |
129 |
$10K |
| 90723 |
|
282 |
281 |
$7K |
| 90670 |
|
332 |
331 |
$2K |
| 87801 |
Infectious agent detection by nucleic acid; amplified probe, multiple organisms |
17 |
17 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
63 |
$860.56 |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
12 |
12 |
$779.93 |
| 90686 |
|
145 |
139 |
$751.03 |
| 90633 |
|
146 |
145 |
$750.18 |
| 90647 |
|
132 |
132 |
$691.04 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
36 |
36 |
$482.84 |
| 90680 |
|
60 |
60 |
$326.76 |
| 90681 |
|
36 |
36 |
$192.46 |
| 83655 |
|
16 |
15 |
$181.20 |
| 90658 |
|
37 |
36 |
$153.73 |
| 90685 |
|
13 |
13 |
$70.27 |