| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
492 |
450 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
344 |
$11K |
| 99000 |
|
228 |
210 |
$2K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
182 |
172 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
244 |
199 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
104 |
49 |
$1K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
37 |
$666.40 |
| 87807 |
|
61 |
57 |
$522.51 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$509.64 |
| 92551 |
|
54 |
54 |
$271.08 |
| 96127 |
|
114 |
109 |
$252.00 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
18 |
18 |
$126.22 |
| 90686 |
|
15 |
15 |
$0.00 |
| 99173 |
|
55 |
55 |
$0.00 |