| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,624 |
1,393 |
$49K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
663 |
632 |
$29K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
360 |
347 |
$5K |
| 94760 |
|
1,470 |
1,217 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
67 |
67 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
91 |
46 |
$1K |
| 99000 |
|
99 |
97 |
$881.00 |
| 81002 |
|
294 |
287 |
$773.80 |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
50 |
50 |
$649.05 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
29 |
22 |
$398.75 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
49 |
49 |
$386.54 |
| 81003 |
|
191 |
187 |
$349.76 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
29 |
29 |
$196.00 |
| 99001 |
|
17 |
17 |
$83.69 |
| 81000 |
|
36 |
33 |
$37.01 |
| 99401 |
|
109 |
109 |
$0.00 |
| 90686 |
|
33 |
33 |
$0.00 |