| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
175 |
164 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
114 |
98 |
$831.60 |
| 90686 |
|
64 |
64 |
$812.40 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
26 |
13 |
$378.30 |
| S9470 |
Nutritional counseling, dietitian visit |
26 |
26 |
$0.00 |