| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,524 |
2,061 |
$87K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
1,195 |
1,055 |
$15K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
523 |
262 |
$4K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
119 |
112 |
$3K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
14 |
12 |
$979.40 |
| 90461 |
|
16 |
13 |
$203.84 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
32 |
27 |
$130.24 |
| 90658 |
|
28 |
25 |
$70.51 |
| S9470 |
Nutritional counseling, dietitian visit |
61 |
43 |
$61.48 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
14 |
12 |
$32.80 |
| 96160 |
|
14 |
12 |
$22.50 |
| G8431 |
Screening for depression is documented as being positive and a follow-up plan is documented |
14 |
12 |
$0.00 |
| G8711 |
Prescribed antibiotic on or within 3 days after the episode date |
333 |
303 |
$0.00 |