| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
529 |
471 |
$30K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
164 |
159 |
$2K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
130 |
65 |
$2K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
14 |
14 |
$1K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
12 |
12 |
$979.32 |
| 90686 |
|
79 |
79 |
$966.78 |
| 92587 |
|
14 |
14 |
$268.10 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
28 |
$223.74 |
| 96127 |
|
44 |
44 |
$185.82 |
| S9470 |
Nutritional counseling, dietitian visit |
56 |
56 |
$0.00 |
| 99051 |
|
13 |
13 |
$0.00 |
| 94760 |
|
15 |
14 |
$0.00 |