| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
389 |
$18K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
20 |
16 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
20 |
12 |
$1K |
| 96127 |
|
57 |
42 |
$834.39 |
| 0502F |
|
18 |
12 |
$802.64 |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
35 |
23 |
$564.85 |
| 90648 |
|
21 |
12 |
$150.45 |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
30 |
12 |
$0.00 |