| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
586 |
518 |
$42K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
453 |
$24K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
242 |
239 |
$4K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
188 |
186 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
434 |
406 |
$2K |
| 99051 |
|
204 |
196 |
$817.87 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
156 |
151 |
$661.96 |
| 99173 |
|
199 |
198 |
$215.88 |
| 99401 |
|
498 |
496 |
$144.49 |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
13 |
13 |
$136.40 |
| 99072 |
|
176 |
166 |
$0.00 |