| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,286 |
1,175 |
$89K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
291 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
297 |
255 |
$6K |
| 96127 |
|
904 |
593 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
157 |
148 |
$1K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
28 |
28 |
$340.88 |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$321.31 |
| 90686 |
|
469 |
275 |
$232.50 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$209.87 |
| 81002 |
|
25 |
25 |
$53.12 |
| 96160 |
|
12 |
12 |
$35.40 |
| 90656 |
|
20 |
20 |
$9.00 |