| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,899 |
1,425 |
$114K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
764 |
713 |
$18K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
441 |
432 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
445 |
390 |
$4K |
| 92588 |
|
103 |
96 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
41 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$600.00 |
| 90461 |
|
45 |
42 |
$460.00 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
17 |
16 |
$236.17 |
| 90686 |
|
45 |
41 |
$141.64 |
| 99173 |
|
61 |
55 |
$129.34 |
| 99051 |
|
24 |
22 |
$0.00 |