| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
51 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
18 |
15 |
$906.60 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
49 |
21 |
$516.15 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
27 |
21 |
$219.70 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
31 |
23 |
$158.98 |
| 92551 |
|
16 |
13 |
$0.00 |