| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,223 |
1,122 |
$43K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
1,343 |
461 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
201 |
198 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
254 |
214 |
$11K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
681 |
582 |
$5K |
| 99174 |
|
239 |
230 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$2K |
| 99188 |
|
78 |
77 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$827.40 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
35 |
33 |
$390.60 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
30 |
14 |
$338.78 |
| 96127 |
|
101 |
95 |
$329.43 |
| 90670 |
|
59 |
56 |
$251.53 |
| 85018 |
|
85 |
85 |
$136.51 |
| 92551 |
|
19 |
18 |
$102.08 |
| 90647 |
|
45 |
41 |
$31.08 |
| 90723 |
|
59 |
55 |
$0.57 |
| 90671 |
|
65 |
62 |
$0.51 |
| 90674 |
|
18 |
17 |
$0.17 |
| 90633 |
|
12 |
12 |
$0.12 |