| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
284 |
233 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
91 |
80 |
$9K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
57 |
51 |
$5K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
128 |
118 |
$5K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
28 |
28 |
$3K |
| 96127 |
|
64 |
60 |
$1K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
68 |
66 |
$709.90 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
14 |
13 |
$198.00 |
| 36416 |
|
58 |
55 |
$183.91 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
30 |
30 |
$52.67 |
| 85018 |
|
58 |
55 |
$0.00 |
| 90686 |
|
17 |
17 |
$0.00 |
| 99000 |
|
53 |
52 |
$0.00 |
| 90461 |
|
49 |
40 |
$0.00 |
| 90670 |
|
13 |
13 |
$0.00 |