| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,897 |
1,695 |
$62K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,051 |
1,038 |
$26K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,217 |
623 |
$14K |
| 92551 |
|
264 |
263 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
49 |
49 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
52 |
52 |
$2K |
| 99401 |
|
464 |
464 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
105 |
102 |
$1K |
| 90461 |
|
86 |
72 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$623.04 |
| 99173 |
|
423 |
423 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
12 |
12 |
$0.00 |
| 99000 |
|
17 |
14 |
$0.00 |