| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
313 |
$21K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
197 |
185 |
$6K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
64 |
60 |
$5K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
53 |
53 |
$4K |
| 90461 |
|
47 |
46 |
$2K |
| 99050 |
|
40 |
36 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
17 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
18 |
18 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
51 |
51 |
$523.93 |
| 99051 |
|
13 |
13 |
$352.69 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
27 |
$305.75 |
| 90670 |
|
39 |
27 |
$0.38 |
| 90647 |
|
14 |
14 |
$0.14 |
| 90723 |
|
12 |
12 |
$0.12 |