| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,195 |
917 |
$85K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
574 |
480 |
$4K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
152 |
143 |
$3K |
| 92588 |
|
79 |
75 |
$1K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
199 |
195 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
13 |
13 |
$1K |
| 99173 |
|
80 |
76 |
$172.84 |
| 90686 |
|
14 |
14 |
$0.00 |