| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
208 |
183 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
60 |
$6K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
130 |
126 |
$3K |
| 92587 |
|
53 |
52 |
$859.00 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
55 |
49 |
$326.40 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
75 |
75 |
$300.02 |
| G0444 |
Annual depression screening, 5 to 15 minutes |
12 |
12 |
$119.24 |
| 97804 |
|
16 |
16 |
$83.75 |
| 97802 |
|
37 |
36 |
$35.99 |
| 81003 |
|
31 |
31 |
$35.28 |
| 99000 |
|
42 |
40 |
$0.00 |
| 3008F |
|
37 |
36 |
$0.00 |
| S9451 |
Exercise classes, non-physician provider, per session |
37 |
36 |
$0.00 |
| 99172 |
|
49 |
48 |
$0.00 |
| 99173 |
|
16 |
16 |
$0.00 |