| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,053 |
809 |
$54K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
398 |
327 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
374 |
314 |
$12K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
70 |
55 |
$6K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
391 |
333 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
33 |
27 |
$3K |
| 96127 |
|
456 |
357 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
345 |
272 |
$2K |
| 92587 |
|
467 |
374 |
$995.60 |
| 99174 |
|
204 |
166 |
$829.90 |
| 85018 |
|
669 |
538 |
$600.80 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
51 |
43 |
$540.50 |
| 81003 |
|
526 |
396 |
$438.17 |
| 96160 |
|
16 |
13 |
$37.52 |
| 85014 |
|
352 |
279 |
$23.04 |
| 36416 |
|
674 |
543 |
$0.00 |
| 90686 |
|
85 |
78 |
$0.00 |