| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
472 |
380 |
$30K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
321 |
286 |
$17K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
151 |
130 |
$13K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
127 |
109 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
40 |
38 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
82 |
$3K |
| 99460 |
|
13 |
13 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
298 |
256 |
$682.66 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
42 |
39 |
$633.36 |
| 85018 |
|
30 |
26 |
$76.30 |
| 99173 |
|
46 |
39 |
$0.00 |
| 90700 |
|
99 |
78 |
$0.00 |
| 90648 |
|
68 |
59 |
$0.00 |
| 90670 |
|
94 |
75 |
$0.00 |
| 90713 |
|
56 |
44 |
$0.00 |
| 90686 |
|
31 |
30 |
$0.00 |
| 92551 |
|
35 |
27 |
$0.00 |
| 90680 |
|
28 |
24 |
$0.00 |