| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
721 |
$43K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
541 |
486 |
$5K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
210 |
96 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
44 |
41 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
48 |
46 |
$341.45 |
| 81002 |
|
70 |
67 |
$163.24 |
| 3008F |
|
14 |
14 |
$130.00 |
| 96127 |
|
13 |
13 |
$105.60 |
| 92558 |
|
103 |
99 |
$56.19 |
| 99177 |
|
33 |
33 |
$55.00 |
| 96160 |
|
13 |
13 |
$38.87 |
| 90686 |
|
53 |
52 |
$0.00 |