| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
405 |
335 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
232 |
$6K |
| 99401 |
|
562 |
401 |
$6K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
45 |
45 |
$626.97 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
53 |
$539.04 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
36 |
29 |
$372.23 |