| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
467 |
442 |
$29K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
57 |
57 |
$4K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
44 |
39 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
52 |
51 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$1K |
| 99051 |
|
57 |
57 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
32 |
26 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
115 |
109 |
$926.73 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
96 |
47 |
$868.48 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
74 |
72 |
$624.22 |