| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
837 |
707 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
38 |
36 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
194 |
191 |
$3K |
| 92587 |
|
39 |
39 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
81 |
79 |
$1K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
64 |
27 |
$602.70 |
| 99050 |
|
14 |
13 |
$460.07 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
16 |
12 |
$129.62 |