| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
65 |
$7K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
39 |
36 |
$529.62 |
| 99188 |
|
12 |
12 |
$358.80 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
27 |
27 |
$300.67 |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
29 |
29 |
$300.53 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
13 |
13 |
$272.48 |