| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
972 |
799 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
379 |
$25K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
644 |
301 |
$11K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
102 |
81 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
72 |
64 |
$3K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
483 |
434 |
$3K |
| 85018 |
|
267 |
238 |
$584.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
15 |
$371.14 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
29 |
29 |
$358.49 |
| 81002 |
|
152 |
135 |
$337.02 |
| 36416 |
|
273 |
246 |
$7.62 |
| 90648 |
|
61 |
60 |
$0.00 |
| 90670 |
|
14 |
14 |
$0.00 |
| 90656 |
|
15 |
14 |
$0.00 |