| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
98 |
64 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
494 |
261 |
$891.63 |
| 99381 |
|
15 |
13 |
$667.04 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
207 |
124 |
$387.00 |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
101 |
57 |
$121.28 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
65 |
35 |
$13.57 |
| 90744 |
|
41 |
27 |
$0.00 |
| 90680 |
|
41 |
27 |
$0.00 |
| G8510 |
Screening for depression is documented as negative, a follow-up plan is not required |
20 |
12 |
$0.00 |
| 90698 |
|
91 |
56 |
$0.00 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
24 |
14 |
$0.00 |
| 90670 |
|
85 |
52 |
$0.00 |
| 90461 |
|
42 |
24 |
$0.00 |
| 90633 |
|
22 |
12 |
$0.00 |