| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
844 |
807 |
$41K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
524 |
492 |
$8K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
496 |
486 |
$6K |
| 94010 |
|
117 |
117 |
$3K |
| 92567 |
|
312 |
305 |
$2K |
| 92587 |
|
74 |
74 |
$2K |
| 93000 |
|
99 |
99 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
45 |
45 |
$1K |
| S0302 |
Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) |
276 |
275 |
$1K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
27 |
27 |
$1K |
| 90461 |
|
60 |
59 |
$904.00 |
| 92558 |
|
218 |
217 |
$671.78 |
| 92588 |
|
16 |
16 |
$640.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$590.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
25 |
25 |
$440.00 |
| 90674 |
|
14 |
14 |
$161.92 |
| 36415 |
Collection of venous blood by venipuncture |
13 |
13 |
$41.78 |
| 3008F |
|
257 |
256 |
$0.00 |