| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,342 |
1,115 |
$58K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
874 |
764 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
266 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
578 |
559 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
39 |
$2K |
| 90686 |
|
142 |
135 |
$963.69 |
| 92552 |
|
52 |
49 |
$656.86 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
45 |
41 |
$499.60 |
| 90461 |
|
27 |
26 |
$386.16 |