| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,001 |
747 |
$70K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
39 |
37 |
$4K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
53 |
52 |
$376.83 |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
213 |
202 |
$332.30 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
15 |
14 |
$189.15 |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
14 |
14 |
$180.74 |
| 81000 |
|
40 |
38 |
$125.60 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
158 |
151 |
$48.50 |
| 85018 |
|
12 |
12 |
$24.60 |