| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
758 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
107 |
84 |
$7K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
825 |
699 |
$3K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
41 |
29 |
$2K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
71 |
55 |
$599.70 |
| 90686 |
|
53 |
50 |
$587.97 |
| 92551 |
|
26 |
24 |
$246.27 |
| 96127 |
|
49 |
30 |
$211.04 |
| 90688 |
|
23 |
17 |
$143.30 |
| 90461 |
|
77 |
70 |
$133.12 |
| 99000 |
|
246 |
198 |
$88.54 |
| 99072 |
|
964 |
819 |
$65.30 |
| 99177 |
|
18 |
14 |
$60.28 |
| 99173 |
|
31 |
28 |
$43.43 |
| 85018 |
|
18 |
13 |
$28.94 |
| 36416 |
|
24 |
15 |
$0.00 |