| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
390 |
373 |
$13K |
| S8301 |
Infection control supplies, not otherwise specified |
379 |
348 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
197 |
196 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
31 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
89 |
86 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$951.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
120 |
96 |
$918.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
50 |
14 |
$392.00 |
| 90461 |
|
20 |
14 |
$140.20 |
| 90686 |
|
38 |
38 |
$0.00 |