| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
904 |
757 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
321 |
290 |
$32K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
42 |
42 |
$7K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
172 |
145 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
14 |
14 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
51 |
51 |
$899.65 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
404 |
383 |
$368.29 |
| 99058 |
|
336 |
313 |
$359.94 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
74 |
61 |
$144.05 |
| 81002 |
|
74 |
68 |
$118.87 |
| 99050 |
|
377 |
310 |
$84.81 |
| D0145 |
Oral evaluation for a patient under three years of age |
29 |
29 |
$0.00 |
| 92552 |
|
13 |
13 |
$0.00 |
| D1330 |
|
94 |
94 |
$0.00 |
| D1310 |
|
94 |
94 |
$0.00 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
37 |
37 |
$0.00 |
| 97802 |
|
53 |
53 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
84 |
80 |
$0.00 |
| 36416 |
|
13 |
13 |
$0.00 |