| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
94 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
113 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
37 |
37 |
$4K |
| 99188 |
|
93 |
93 |
$2K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
115 |
115 |
$1K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
13 |
13 |
$1K |
| 90461 |
|
53 |
53 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
55 |
55 |
$483.48 |
| 96127 |
|
48 |
46 |
$361.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
13 |
$167.57 |
| 85018 |
|
71 |
71 |
$145.55 |
| 80061 |
Lipid panel |
12 |
12 |
$139.32 |
| 99177 |
|
15 |
15 |
$44.10 |
| 90744 |
|
12 |
12 |
$0.00 |
| 90686 |
|
32 |
32 |
$0.00 |