| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,443 |
1,284 |
$91K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
745 |
725 |
$17K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
25 |
24 |
$847.39 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
107 |
107 |
$753.66 |
| 92551 |
|
41 |
41 |
$233.03 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
13 |
12 |
$177.71 |
| 90686 |
|
244 |
241 |
$0.00 |