| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
960 |
815 |
$56K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
162 |
162 |
$13K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
120 |
119 |
$10K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
97 |
96 |
$9K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
62 |
61 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
169 |
84 |
$2K |
| 90651 |
|
30 |
29 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
72 |
71 |
$1K |
| 99173 |
|
341 |
339 |
$867.65 |
| 90670 |
|
62 |
62 |
$848.45 |
| 90698 |
|
44 |
44 |
$653.30 |
| 36415 |
Collection of venous blood by venipuncture |
166 |
162 |
$513.45 |
| 96127 |
|
76 |
76 |
$376.69 |
| 81002 |
|
119 |
115 |
$362.03 |
| 90688 |
|
33 |
30 |
$337.27 |
| 85018 |
|
110 |
110 |
$312.46 |
| 90680 |
|
12 |
12 |
$221.55 |
| 90633 |
|
12 |
12 |
$201.54 |
| 90744 |
|
14 |
14 |
$167.07 |
| 90715 |
|
12 |
12 |
$155.89 |