| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92551 |
|
348 |
345 |
$3K |
| 90686 |
|
217 |
217 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
89 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
234 |
231 |
$2K |
| 96150 |
|
105 |
105 |
$2K |
| 85018 |
|
292 |
291 |
$2K |
| 96156 |
|
282 |
280 |
$1K |
| 99173 |
|
427 |
425 |
$1K |
| 81000 |
|
210 |
210 |
$784.08 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
31 |
$702.92 |
| 96151 |
|
27 |
27 |
$517.24 |
| 96127 |
|
55 |
55 |
$427.82 |
| 31000 |
|
15 |
15 |
$245.40 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
34 |
33 |
$143.99 |
| 99406 |
|
13 |
13 |
$126.19 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
16 |
16 |
$107.74 |
| 94667 |
|
15 |
15 |
$86.84 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
15 |
15 |
$51.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
25 |
25 |
$0.00 |