| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
951 |
874 |
$36K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
535 |
256 |
$6K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
46 |
43 |
$4K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
47 |
44 |
$652.83 |
| 90461 |
|
31 |
24 |
$197.59 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
19 |
12 |
$130.24 |
| 96160 |
|
37 |
34 |
$79.85 |
| 90686 |
|
37 |
37 |
$0.00 |