| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
157 |
147 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
198 |
182 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
16 |
16 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
12 |
$977.76 |
| 92551 |
|
82 |
72 |
$770.36 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
78 |
59 |
$539.33 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
92 |
80 |
$385.21 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
28 |
27 |
$363.75 |
| 99173 |
|
57 |
51 |
$111.37 |
| 90461 |
|
14 |
12 |
$87.40 |
| 99174 |
|
13 |
12 |
$68.70 |
| 36416 |
|
16 |
12 |
$5.50 |
| 94760 |
|
28 |
28 |
$0.00 |