| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,429 |
1,148 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
99 |
$15K |
| 92551 |
|
548 |
496 |
$5K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
234 |
187 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
208 |
176 |
$2K |
| 96127 |
|
256 |
229 |
$1K |
| 99173 |
|
412 |
372 |
$964.60 |
| 90686 |
|
44 |
31 |
$830.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
98 |
94 |
$806.26 |
| 99000 |
|
158 |
132 |
$4.50 |