| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
415 |
406 |
$19K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
36 |
36 |
$3K |
| 87651 |
Infectious agent detection by nucleic acid; Streptococcus, group A, amplified probe |
12 |
12 |
$304.31 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
33 |
31 |
$283.54 |
| 90686 |
|
27 |
27 |
$0.00 |
| 90656 |
|
51 |
51 |
$0.00 |