| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,574 |
1,232 |
$81K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
175 |
$16K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
43 |
40 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
188 |
170 |
$2K |
| 90686 |
|
152 |
147 |
$2K |
| 85018 |
|
505 |
488 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
155 |
147 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
13 |
13 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
78 |
36 |
$1K |
| 81003 |
|
255 |
236 |
$593.32 |
| 90685 |
|
33 |
31 |
$374.98 |
| 92551 |
|
111 |
108 |
$324.70 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
41 |
36 |
$154.76 |
| 36416 |
|
473 |
455 |
$100.13 |
| 99173 |
|
19 |
19 |
$47.41 |