| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,925 |
1,603 |
$121K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,179 |
1,850 |
$112K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
740 |
665 |
$8K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
559 |
511 |
$6K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
39 |
37 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
103 |
97 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
13 |
13 |
$133.51 |
| 94760 |
|
264 |
252 |
$1.98 |
| 90688 |
|
70 |
64 |
$0.00 |
| 90686 |
|
62 |
61 |
$0.00 |
| 90461 |
|
15 |
14 |
$0.00 |
| 90685 |
|
15 |
15 |
$0.00 |