| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
94 |
77 |
$9K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
114 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
100 |
94 |
$7K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
66 |
64 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
61 |
58 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
29 |
29 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
62 |
44 |
$676.20 |
| 99188 |
|
33 |
33 |
$582.23 |
| 83655 |
|
25 |
25 |
$262.50 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
15 |
14 |
$236.70 |
| 85018 |
|
24 |
24 |
$75.12 |
| 96161 |
|
14 |
14 |
$7.90 |
| 36416 |
|
28 |
28 |
$2.80 |
| 90713 |
|
42 |
41 |
$0.00 |
| 90707 |
|
13 |
13 |
$0.00 |
| 90670 |
|
56 |
55 |
$0.00 |
| 90648 |
|
50 |
49 |
$0.00 |
| 90700 |
|
61 |
60 |
$0.00 |
| 90633 |
|
18 |
18 |
$0.00 |